| NPI | 1710977129 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLAN J. KNAAK Pharmacy Manager 734-668-9600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: MI 5301006740) |
| Enumeration Date | 2005-10-26 |
| Last Update Date | 2008-02-11 |