| NPI | 1750928313 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANULA JOSE THURUTHIKKARA Pharmacist 586-303-7386 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2019-12-03 |
| Last Update Date | 2019-12-03 |