| NPI | 1336539477 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAHESH PYDIPATI President 734-398-1035 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: MI 5301010622) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: MI 5301010622) |
| Enumeration Date | 2015-01-28 |
| Last Update Date | 2015-10-05 |