| NPI | 1790135671 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAREK JAWARD Owner 313-581-6000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: MI 5301011040) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0004X Pharmacy, Compounding Pharmacy (Licence: MI 5301011040) | |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2016-06-21 |
| Last Update Date | 2018-02-19 |