| NPI | 1740291384 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRED HARRIS Owner 586-790-5357 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MI 5301008318) |
| 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy | |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| 3336M0003X Pharmacy, Managed Care Organization Pharmacy | |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2025-09-11 |