NPI | 1275641649 |
---|---|
Doing Business As | NEW WALKER'S PROFESSIONAL PHARMACY LTC |
Entity Type | Organization |
Authorized Contact | FADI NASERDEAN President 313-680-3000 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MI 5301005445) |
Additional Taxonomies | 333600000X Pharmacy |
3336L0003X Pharmacy, Long Term Care Pharmacy | |
Enumeration Date | 2006-08-27 |
Last Update Date | 2021-08-16 |