| NPI | 1265769657 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | INDU JOSHI Owner 734-891-1727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy (Licence: MI 5301009341) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0004X Pharmacy Compounding Pharmacy | |
| Enumeration Date | 2009-11-05 |
| Last Update Date | 2013-04-23 |