| NPI | 1386972859 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WISAM ALAWIEH CEO 248-530-5769 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: MI 5301010570) |
| Additional Taxonomies | 3336C0002X Pharmacy Clinic Pharmacy |
| 3336S0011X Pharmacy Specialty Pharmacy (Licence: MI 5301010570) | |
| Enumeration Date | 2009-11-22 |
| Last Update Date | 2015-08-24 |