| NPI | 1285173112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALI HASSAN ISMAIL Owner/Pharmacist In Charge 313-914-7224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: MI 5301011152) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2017-02-12 |
| Last Update Date | 2022-07-21 |