| NPI | 1730209743 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRENDRA GAIDHANE President 313-885-3363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MI 5301005956) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2007-03-31 |
| Last Update Date | 2018-06-16 |