NPI | 1265687883 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN CHARLES GAWRYK Pharmacy Director 313-224-7912 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2400X Clinic/Center, Prison Health (Licence: MI 5301003163) |
Enumeration Date | 2008-11-24 |
Last Update Date | 2008-11-24 |