| NPI | 1598885469 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN DAKHLIAN Chief Pharmacist 888-677-6337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MI 5301007527) |
| Enumeration Date | 2007-04-01 |
| Last Update Date | 2020-08-22 |