| NPI | 1881857639 |
|---|---|
| Doing Business As | PARK PLACE PHARMACY OF TAYLOR |
| Entity Type | Organization |
| Authorized Contact | MOHAMAD SOBH PIC/Officer 313-622-0432 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MI 5301008973) |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2010-12-22 |