| NPI | 1871359406 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIDDIKUR MOHAMMED RAHMAN Co Owner 313-445-2643 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2024-02-21 |
| Last Update Date | 2024-02-21 |