| NPI | 1487080214 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COSMOS NELO GEORGE Pharmacist 248-254-6407 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MI 5302032227) |
| Enumeration Date | 2013-09-25 |
| Last Update Date | 2013-09-25 |