| NPI | 1316639958 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHACKO JOSEPH PUTHENTHARAYIL Owner/President 248-946-7725 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2023-05-23 |
| Last Update Date | 2023-08-15 |