| NPI | 1497054118 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AKINSOLA OLUWOLE Pharmacist In Charge 313-933-2300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MI 5301009535) |
| Enumeration Date | 2011-03-21 |
| Last Update Date | 2015-07-20 |