| NPI | 1568833176 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCELLOUS THOMAS Owner Pharmacist 313-245-8600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MI 5302041051) |
| Enumeration Date | 2015-10-08 |
| Last Update Date | 2015-10-08 |