| NPI | 1497577456 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMED MASHRAH PIC/ Owner 313-312-2671 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2024-10-30 |
| Last Update Date | 2024-11-21 |