| NPI | 1790428597 |
|---|---|
| Doing Business As | CORKTOWN APOTHECARY |
| Entity Type | Organization |
| Authorized Contact | ALI J KHOCHEICHE Owner 313-523-1633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2022-04-19 |
| Last Update Date | 2022-04-19 |