| NPI | 1679614044 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMAL S KAKISH President 313-582-0100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MI 5301003631) |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2020-08-22 |