| NPI | 1912270489 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AIMAN ABUEIDA Pharmacist In Charge 313-523-5334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2012-02-14 |
| Last Update Date | 2012-10-03 |