| NPI | 1881563393 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALIEDDIN ALAIWAT PIC 313-675-6301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336M0002X Pharmacy, Mail Order Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| Enumeration Date | 2025-11-03 |
| Last Update Date | 2025-11-03 |