| NPI | 1538980008 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARRETTE BELANGER Owner/Operator 734-904-0828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2024-10-17 |
| Last Update Date | 2024-10-17 |