| NPI | 1811005275 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW M. GROOMAN Rph In Charge 248-855-1177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: MI 5301003210) |
| Enumeration Date | 2006-08-27 |
| Last Update Date | 2012-10-11 |