| NPI | 1619410321 |
|---|---|
| Former Legal Business Name | RED CAP PHARMACY 001 |
| Entity Type | Organization |
| Authorized Contact | MOHAMAD ISSA ABOUKHODR Owner 517-879-4877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MI 5301011054) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2016-11-29 |
| Last Update Date | 2023-01-09 |