| NPI | 1669493664 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EJ LEDESMA President 734-547-1410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0004X Pharmacy Compounding Pharmacy | |
| 3336I0012X Pharmacy Institutional Pharmacy (Licence: MI 5301007213) | |
| 3336S0011X Pharmacy Specialty Pharmacy | |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2018-10-22 |