| NPI | 1801557749 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IBRAHIM CHEIKHALI PIC 313-429-9080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| Enumeration Date | 2022-01-03 |
| Last Update Date | 2023-12-07 |