| NPI | 1326588294 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HASSAN ISMAIL Owner 313-982-3770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: MI 5301011107) |
| 3336S0011X Pharmacy Specialty Pharmacy | |
| 333600000X Pharmacy | |
| Enumeration Date | 2017-02-27 |
| Last Update Date | 2024-01-23 |