| NPI | 1790258069 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FARES A ALMUJAHID Owner/PIC/AO 586-859-5866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2019-01-09 |
| Last Update Date | 2019-08-17 |