| NPI | 1629682695 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IBRAHIM CHEIKHALI Pharmacist In Charge 313-550-3354 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2020-09-07 |
| Last Update Date | 2020-10-09 |