NPI | 1366453870 |
---|---|
Entity Type | Organization |
Authorized Contact | SAMERA BERRY Owner 313-945-6333 |
Organization Subpart ? | No |
Primary Taxonomy | 333600000X Pharmacy (Licence: MI 5301008057) |
Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Enumeration Date | 2006-08-10 |
Last Update Date | 2020-08-22 |