| NPI | 1326119348 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW MAC VP Pharmacy Operations 734-377-3154 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 333600000X Pharmacy (Licence: MI 5301008492) |
| 3336C0003X Pharmacy Community/Retail Pharmacy | |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2020-08-22 |