| NPI | 1467865121 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | RHONDA MORRIS District Manager 734-729-7810  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MI 5302039844)  | 
| Enumeration Date | 2014-06-10 | 
| Last Update Date | 2014-06-10 |