| NPI | 1538277900 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN GRAHAM Manager Pharmacy Services 248-348-1570 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: MI 5301006026) |
| Enumeration Date | 2006-08-27 |
| Last Update Date | 2008-04-15 |