| NPI | 1750444642 |
|---|---|
| Doing Business As | FAZAL MAKHIAWALA |
| Entity Type | Organization |
| Authorized Contact | FAZAL A MAKHIAWALA Owner Pharmacist 313-871-7980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MI 5301004175) |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2008-07-25 |