| NPI | 1386326452 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAMSAN AL-MANSOOB Owner/Manager 313-674-7471 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2023-08-07 |
| Last Update Date | 2023-08-07 |