| NPI | 1386356368 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEX OUZA Pharmacist 313-587-0212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2022-12-21 |
| Last Update Date | 2023-11-01 |