| NPI | 1487803599 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALI FARDOUS Phramacist 313-273-8800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MI 5301008934) |
| Enumeration Date | 2008-09-12 |
| Last Update Date | 2008-09-12 |