| NPI | 1700979655 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFF M CHEHAB Pharmacist 248-591-5555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: MI 5301007600) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MI 5302027828) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2019-01-31 |