| NPI | 1710970504 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN DEJONGH President Of Operations 248-540-8066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: MI 5301004774) |
| Enumeration Date | 2005-08-26 |
| Last Update Date | 2010-10-28 |