| NPI | 1376797746 |
|---|---|
| Doing Business As | 123 PHARMACY LLC |
| Entity Type | Organization |
| Authorized Contact | MUSTAPHA HUSSEIN President 313-645-7544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MI 5315038557) |
| Enumeration Date | 2008-11-11 |
| Last Update Date | 2011-05-02 |