| NPI | 1568868305 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SURESHKUMAR DAKSHINAMOORTHY Pharmacist/Owner 989-792-6000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2014-11-05 |
| Last Update Date | 2016-06-13 |