| NPI | 1548666431 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIPTIBAHEN N PATEL President 734-968-2174 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2014-11-05 |
| Last Update Date | 2017-11-22 |