| NPI | 1548712979 |
|---|---|
| Doing Business As | EXECUTIVE INFUSION SERVICES GRAND BLANC |
| Entity Type | Organization |
| Authorized Contact | AIMAN ABUEIDA Owner / Clinical Pharmacist 313-982-3220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0002X Pharmacy, Clinic Pharmacy (Licence: MI 5301010096) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy | |
| Enumeration Date | 2016-11-02 |
| Last Update Date | 2016-12-21 |