| NPI | 1578274999 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NASSER ALGABRI Pharmacist In Charge 313-638-0221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2022-12-06 |
| Last Update Date | 2023-07-28 |