| NPI | 1437609351 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALI CHEAITO PIC 734-469-4657 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: MI 5301011056) |
| Enumeration Date | 2016-10-04 |
| Last Update Date | 2016-12-09 |