| NPI | 1417332065 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NASR MANSOUR President 313-894-2888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MI 5301010896) |
| Enumeration Date | 2015-07-24 |
| Last Update Date | 2016-06-17 |