| 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 |