| NPI | 1699068254 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANVEER HUSSAIN CEO 313-645-1088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MI 5301009666) |
| Enumeration Date | 2011-05-16 |
| Last Update Date | 2012-04-02 |