| NPI | 1780617068 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW JAMES MAC VP Of Pharmacy Operations 248-357-4550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MI 5301008290) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MI 5301008290) |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2023-03-07 |