| NPI | 1932468303 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANIL BABU GUNTUPALLI Pharmacy Manager 248-821-1260 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: MI 5301009808) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| Enumeration Date | 2012-05-04 |
| Last Update Date | 2020-08-26 |