| NPI | 1427402536 |
|---|---|
| Doing Business As | PLATINUM LIFE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | REGINA AMADI CEO 734-330-3262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2016-04-15 |
| Last Update Date | 2022-07-21 |