| NPI | 1609652874 |
|---|---|
| Doing Business As | YOUR COMMUNITY PHARMACY |
| Entity Type | Organization |
| Authorized Contact | DALILAH WILLIAMS Credentialing Specialist 313-561-5100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2023-09-05 |
| Last Update Date | 2023-09-05 |