| NPI | 1689189243 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | USEF HASSAN Authorized Official/PIC 313-779-8762 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2017-12-05 |
| Last Update Date | 2018-03-28 |