| NPI | 1922091636 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN ENG President 248-333-0222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: MI 5301007486) |
| Additional Taxonomies | 3336C0004X Pharmacy Compounding Pharmacy |
| 3336L0003X Pharmacy Long Term Care Pharmacy | |
| Enumeration Date | 2005-08-27 |
| Last Update Date | 2021-11-09 |