| NPI | 1790492635 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL SIMMONS Transition Team Operations Manager 586-201-0366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy |
| Additional Taxonomies | 251F00000X Home Infusion |
| 333600000X Pharmacy | |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2022-10-31 |
| Last Update Date | 2025-01-02 |