| NPI | 1326492471 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABUSUFIAN ELTAIB ELTAHIR Pharmacy Manager 810-280-0103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MI 5301010916) |
| Enumeration Date | 2016-04-14 |
| Last Update Date | 2016-04-14 |