| NPI | 1790866416 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEHRBANO HUSSAIN Pharmacist Encharge 313-341-3511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: MI 5301007422) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2008-02-21 |