| NPI | 1275609372 |
|---|---|
| Doing Business As | WESTSIDE PHARMACY OF DETROIT INC |
| Entity Type | Organization |
| Authorized Contact | RENARDO GRAY President 313-342-1555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MI 5301004296) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2015-12-31 |