| NPI | 1518580950 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABDUL NASSER Pharmacist In Charge 313-724-1111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2020-05-20 |
| Last Update Date | 2021-04-05 |