| NPI | 1710073010 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILLIP J WEIN Manager, Pharmacy Services 248-858-3053 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MI 5301007139) |
| Additional Taxonomies | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: MI 5301007139) |
| 3336S0011X Pharmacy, Specialty Pharmacy (Licence: MI 5301007139) | |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2023-03-07 |