| NPI | 1699045013 |
|---|---|
| Doing Business As | DORT LONGWAY PHARMACY |
| Entity Type | Organization |
| Authorized Contact | AHMED ZAKI CEO/President 810-813-0040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MI 5301009732) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2012-01-02 |
| Last Update Date | 2012-08-21 |