| NPI | 1467821728 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RIDHWAN AHMED ALBANEH Pharmacist 313-918-9813 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MI 5302040875) |
| Enumeration Date | 2015-09-17 |
| Last Update Date | 2015-09-17 |