NPI | 1417518218 |
---|---|
Doing Business As | WELLNESS PHARMACY AND COMPOUNDING LLC. |
Entity Type | Organization |
Authorized Contact | GASSAN ASADI Pharmacist In Charge 248-817-6770 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Enumeration Date | 2019-06-24 |
Last Update Date | 2019-06-24 |