| NPI | 1518831106 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FADWA FAROOK SALEM Pharmacy Owner 586-436-4008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2025-10-06 |
| Last Update Date | 2025-10-20 |