| NPI | 1669890034 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAHLA H KHAN Pharmacist 734-674-8710 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: MI 5301010390) |
| Enumeration Date | 2014-04-02 |
| Last Update Date | 2014-05-02 |