| NPI | 1316060155 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISAM TAHBOUB Pharmacist 810-230-8300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MI 530100858) |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2020-08-22 |