| NPI | 1275371627 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABASS ALIAHMAD Pharmacist In Charge 586-368-9010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2024-07-18 |
| Last Update Date | 2024-09-30 |