| NPI | 1396563391 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RIAM NOFAR Pharmacist In Charge (PIC) 248-653-4396 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2024-09-30 |
| Last Update Date | 2024-09-30 |