| NPI | 1801074174 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAYNE P CONTI Pharmacist/Owner 586-775-1221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: MI 5301001808) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MI 5301001808) |
| Enumeration Date | 2008-02-08 |
| Last Update Date | 2008-02-08 |