| NPI | 1366069965 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABDUSELAM SALIH Pharmacist In Charge 517-599-4634 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2020-06-30 |
| Last Update Date | 2020-06-30 |