NPI | 1588495659 |
---|---|
Entity Type | Organization |
Authorized Contact | MALIK AHMED SHAIBI Supervising Pharmacy 313-442-2400 |
Organization Subpart ? | No |
Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy |
Enumeration Date | 2024-08-12 |
Last Update Date | 2024-08-12 |