| NPI | 1730471194 |
|---|---|
| Doing Business As | MEDEX HEALTH MART |
| Entity Type | Organization |
| Authorized Contact | IMAD MOHAMMAD Pharmacy Manager 313-397-2054 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MI 5301009554) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2011-05-04 |
| Last Update Date | 2011-08-08 |