| NPI | 1770974750 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALID ABDELMOTELEB Mgrm 810-232-2700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: FL PH28356) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2015-02-11 |
| Last Update Date | 2018-12-20 |