| NPI | 1396262218 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAHMOUD SROUR Registered Pharmacist 313-445-5656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MI 5301011241) |
| Enumeration Date | 2017-08-23 |
| Last Update Date | 2018-02-27 |