| NPI | 1891266607 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AHMAD RESLAN Pharmacist In Charge 586-350-0370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2018-12-06 |
| Last Update Date | 2018-12-06 |