| NPI | 1508264102 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HANNA A EID Owner 586-770-7586 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MI 5301010610) |
| Enumeration Date | 2014-12-12 |
| Last Update Date | 2015-07-16 |