| NPI | 1306904032 |
|---|---|
| Doing Business As | INDIAN VILLAGE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | IMAD AOUN President 313-331-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MI 5301007723) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2018-07-19 |