| NPI | 1679737480 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAYNE W BRADLEY President & CEO 313-343-2891 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0002X Pharmacy Clinic Pharmacy (Licence: MI 5301008896) |
| Enumeration Date | 2008-07-11 |
| Last Update Date | 2019-03-22 |