| NPI | 1932574977 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NASHWAN ALGUMAEI Owner, PIC, AO 734-340-6050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: MI 5301010767) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0004X Pharmacy Compounding Pharmacy | |
| Enumeration Date | 2015-12-02 |
| Last Update Date | 2016-05-19 |