| NPI | 1831427301 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAM ALAWIEH President/CEO 313-587-8376 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336S0011X Pharmacy, Specialty Pharmacy (Licence: MI 5301009248) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: MI 5301009248) |
| 3336C0002X Pharmacy, Clinic Pharmacy (Licence: MI 5301009248) | |
| 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MI 5301009248) | |
| 3336C0004X Pharmacy, Compounding Pharmacy (Licence: MI 5301009248) | |
| 3336M0002X Pharmacy, Mail Order Pharmacy (Licence: MI 5301009248) | |
| Enumeration Date | 2009-11-22 |
| Last Update Date | 2009-11-22 |