| NPI | 1720190721 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NORMA ABDALLAH President 313-533-1422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: MI 5301007973) |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2010-02-22 |