| NPI | 1609924315 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICH THOMAS HOWARD Owner 586-254-3568 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: MI 5301008109) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MI 5301008109) |
| 183500000X Pharmacist (Licence: MI 5302410843) | |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2015-12-14 |