| NPI | 1407914831 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA R GOLDBERG Head Pharmacist 248-644-5060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: MI 5315011943) |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2020-08-22 |