| NPI | 1265721955 |
|---|---|
| Doing Business As | MEDINA PHARMACY |
| Entity Type | Organization |
| Authorized Contact | NASR MANSOUR President 313-397-6919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MI 5301009552) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2011-04-03 |
| Last Update Date | 2016-12-29 |