| NPI | 1568816585 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BASSAM YOUSSEF Sole Member 810-874-6752 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: FL PH29283) |
| Enumeration Date | 2016-04-15 |
| Last Update Date | 2016-04-15 |