| NPI | 1831035138 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEXI MARIE LEMONDS Administrative Manager 734-556-3133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2026-04-28 |
| Last Update Date | 2026-04-28 |