| NPI | 1821180563 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALI RASHID ELHASAN Pharmacist 313-386-0830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MI 5301007596) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: MI 5315011899) |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2016-02-16 |