| NPI | 1538322722 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMAD SIDDIQUE Managing Director 313-366-3800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: MI 5301008887) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-07-08 |
| Last Update Date | 2016-11-29 |