| NPI | 1386004216 |
|---|---|
| Doing Business As | PRESTIGE MEDICAL, LLC |
| Entity Type | Organization |
| Authorized Contact | FATIMA HAMADE Owner, AO 313-879-5047 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MI 5301010885) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| Enumeration Date | 2016-03-04 |
| Last Update Date | 2016-07-29 |