| NPI | 1790370930 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHACKO JOSEPH PUTHENTHARAYIL President 248-946-7725 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Enumeration Date | 2021-03-09 |
| Last Update Date | 2024-09-26 |