| NPI | 1609461912 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANSOOR KHAN Pharmacist In Charge/Owner 586-596-4198 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336I0012X Pharmacy, Institutional Pharmacy |
| Additional Taxonomies | 282N00000X General Acute Care Hospital |
| Enumeration Date | 2021-03-08 |
| Last Update Date | 2021-03-08 |