| NPI | 1538210414 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEILA FAWAZ Owner 313-584-4600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MI 5301005961) |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2015-12-07 |