| NPI | 1518735018 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMED G AL AWDI Pharmacist In Charge 313-502-6095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2023-12-13 |
| Last Update Date | 2023-12-13 |