| NPI | 1730124934 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAY ASPENLEITER Office Manager 586-558-2111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: MI BE055927) |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2020-08-22 |