| NPI | 1417044603 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAMZE BEYDOUN Pharmacist 313-835-3521 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MI 5301007115) |
| Enumeration Date | 2006-10-07 |
| Last Update Date | 2008-06-17 |