| NPI | 1770594103 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MITCHELL AARON WEINER President 313-861-9300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MI 5301004485) |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2013-11-25 |