| NPI | 1679390918 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAHID MOHAMMAD HUSSAIN Sole Member 313-683-0153 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2024-09-26 |
| Last Update Date | 2024-09-26 |