| NPI | 1568781557 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES I AZZAM Pharmacy Maneger 248-373-7700 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MI 5302410541) |
| Enumeration Date | 2010-05-31 |
| Last Update Date | 2010-05-31 |