| NPI | 1386100931 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MUSTAPHA AYOUB Pharmacist In Charge 734-589-8440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2019-02-19 |
| Last Update Date | 2019-02-19 |