| NPI | 1417518218 |
|---|---|
| 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 |