| NPI | 1265602494 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH HADDIX Pharmacist/Owner 734-676-3784 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MI 5301003409) |
| Enumeration Date | 2008-03-04 |
| Last Update Date | 2008-03-04 |