| NPI | 1396204129 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALANICHE ANICHE OGBONNAYA Director Pharmacy Operations 313-499-1352 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2019-03-19 |