| NPI | 1588054944 |
|---|---|
| Doing Business As | HEALTHSOURCE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | RAYAN ABU ALAYWA Owner 313-633-1668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MI 5301010619) |
| Enumeration Date | 2015-01-23 |
| Last Update Date | 2017-02-02 |