| NPI | 1336664283 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAH ALAM BHUIYAN Pharmacist In Charge 586-486-5037 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2017-08-11 |
| Last Update Date | 2017-09-19 |