| NPI | 1740369156 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUBHASH HARIVADAN PATEL Pharmacist/Manager 734-241-0606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: MI 5301001992) |
| Enumeration Date | 2006-11-04 |
| Last Update Date | 2020-08-22 |