| NPI | 1417725086 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANIS SOUEIDAN Owner 734-720-1980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2023-12-13 |
| Last Update Date | 2026-01-05 |