| NPI | 1922599968 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE SCHEINOST Adm 734-434-2448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Additional Taxonomies | 3336C0004X Pharmacy Compounding Pharmacy |
| 3336L0003X Pharmacy Long Term Care Pharmacy | |
| Enumeration Date | 2018-05-25 |
| Last Update Date | 2019-12-31 |