| NPI | 1689040065 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER HEADEN Owner 313-499-1043 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: MI 5301010712) |
| Enumeration Date | 2015-08-19 |
| Last Update Date | 2017-02-16 |