| NPI | 1508316605 |
|---|---|
| Doing Business As | CORKTOWN PHARMACY LLC |
| Entity Type | Organization |
| Authorized Contact | EMAD SALEH Member 313-414-7170 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2016-10-12 |
| Last Update Date | 2016-10-14 |