| NPI | 1508655077 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADHEM MAWARI Pharmacist In Charge 313-899-0763 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2025-05-01 |
| Last Update Date | 2025-05-01 |