| NPI | 1750529301 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUGUSTINE ATABONG Pharmacist 734-218-1141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: MI 5301009043) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2009-02-04 |
| Last Update Date | 2009-04-29 |