| NPI | 1447686712 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUGUSTIN TSHIBOYI-MAKABU President 734-274-0448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: OH RTP022340800) |
| Enumeration Date | 2013-09-18 |
| Last Update Date | 2013-09-18 |