| NPI | 1427412394 |
|---|---|
| Doing Business As | EXECUTIVE INFUSION SERVICES LLC |
| Entity Type | Organization |
| Authorized Contact | AIMAN ABUEIDA Owner 313-982-3770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 251F00000X Home Infusion |
| 261QI0500X Clinic/Center, Infusion Therapy | |
| 3336C0002X Pharmacy, Clinic Pharmacy (Licence: MI 5301010096) | |
| 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy | |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2016-04-07 |
| Last Update Date | 2022-08-18 |