| NPI | 1316182538 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALPESH PATEL Owner 248-421-8267 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: FL PH25164) |
| Additional Taxonomies | 3336C0004X Pharmacy Compounding Pharmacy |
| Enumeration Date | 2008-12-03 |
| Last Update Date | 2013-11-22 |