| NPI | 1659337160 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREDRICK GHANNAM CEO, Owner 248-895-3784 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1835P1200X Pharmacist Pharmacotherapy (Licence: MI 5301007720) |
| Enumeration Date | 2006-04-24 |
| Last Update Date | 2023-03-07 |