| NPI | 1427250208 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON DIXON Owner 313-433-2636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MI L1188219) |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2009-01-05 |