| NPI | 1427781202 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA BERNARD Co Owner 734-477-9006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| Enumeration Date | 2022-07-08 |
| Last Update Date | 2022-07-08 |