| NPI | 1518831106 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FADWA FAROOK SALEM Pharmacy Owner 586-252-2125 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2025-10-06 |
| Last Update Date | 2026-01-28 |