NPI | 1801350772 |
---|---|
Doing Business As | PRESTIGE SPECIALTY PHARMACY 2 |
Entity Type | Organization |
Authorized Contact | AMRO SHARAFELDIN CEO 586-800-8002 |
Organization Subpart ? | No |
Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
Enumeration Date | 2019-01-24 |
Last Update Date | 2019-01-24 |