| NPI | 1750891867 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMAD SAAB Pharmacist In Charge 313-636-2926 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: MI 5301011260) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MI 5301011260) |
| Enumeration Date | 2017-10-03 |
| Last Update Date | 2017-10-03 |