| NPI | 1457850786 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GABLAN ZAWAIDEH Pharmacist 248-931-5398 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 3336C0002X Pharmacy, Clinic Pharmacy |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2018-02-01 |
| Last Update Date | 2018-02-01 |