| NPI | 1912483819 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOQUEER UL HASSAN Pharmacist In Charge 734-876-8118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MI 5301011407) |
| Enumeration Date | 2018-07-13 |
| Last Update Date | 2018-07-16 |