NPI | 1447734496 |
---|---|
Doing Business As | MODERN HEALTH PHARMACY OF CANTON |
Entity Type | Organization |
Authorized Contact | MOHAMMED FAWAZ Owner/Agent 734-961-8885 |
Organization Subpart ? | No |
Primary Taxonomy | 183500000X Pharmacist |
Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Enumeration Date | 2018-09-16 |
Last Update Date | 2019-07-17 |