| NPI | 1760476501 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHELLE L ROUSH Director Of Pharmacy Sales 734-994-7246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: MI 5301007282) |
| Enumeration Date | 2005-09-08 |
| Last Update Date | 2009-01-13 |