| NPI | 1639461551 |
|---|---|
| Doing Business As | PHARMOR PHARMACY-EVERGREEN |
| Entity Type | Organization |
| Authorized Contact | ABDO SHOUBAH Owner 313-467-4164 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MI 5301009583) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2011-05-11 |
| Last Update Date | 2011-11-15 |