| NPI | 1265872717 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KINGSLEY JADEMI Pharmacy Manager 313-925-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2013-06-28 |
| Last Update Date | 2013-06-28 |