| NPI | 1366106890 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABDEL BEYDOUN Pharmacist In Charge 313-995-7738 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2021-10-30 |
| Last Update Date | 2021-10-30 |