NPI | 1477699080 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN LEACH Owner And Phcist 313-357-7500 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MI 5301004123) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2007-01-30 |
Last Update Date | 2011-04-26 |