| NPI | 1356815351 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAREK HASSOUN Pharmacist In Charge 248-590-2994 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2019-01-14 |
| Last Update Date | 2023-02-23 |