| NPI | 1558585687 |
|---|---|
| Doing Business As | STADIUM PHARMACY |
| Entity Type | Organization |
| Authorized Contact | XAVIER JAMAL TATO Pharmacist Owner 734-913-4752 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MI 5301007692) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2017-09-12 |