| NPI | 1336390657 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUMAIRA BANO Pharmacist 313-366-4600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MI 5301008936) |
| Enumeration Date | 2008-10-06 |
| Last Update Date | 2008-10-06 |