| NPI | 1841905833 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GANESH PATEL Owner 313-422-7100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2023-01-16 |
| Last Update Date | 2024-02-20 |