| NPI | 1831495597 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS B. HALSTEAD Pharmacist In Charge 586-725-3737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MI 5301004295) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MI 5301004295) |
| Enumeration Date | 2011-01-28 |
| Last Update Date | 2011-01-28 |