| NPI | 1639576135 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARUP SHOME Owner 248-841-1671 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: MI 5301010601) |
| Enumeration Date | 2014-11-26 |
| Last Update Date | 2014-11-26 |