| NPI | 1861050361 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL HAIDER Owner 313-732-0000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2019-05-31 |
| Last Update Date | 2019-07-02 |