| NPI | 1295899078 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN W BICKING CEO 734-243-5656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy Compounding Pharmacy (Licence: MI 5301007299) |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2009-12-18 |