| NPI | 1588220297 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH JAAFAR Authorized Agent 734-427-2850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2019-05-17 |
| Last Update Date | 2023-04-10 |