| NPI | 1932601317 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUJATA GAIDHANE Member 586-213-1386 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MI 53010111166) |
| Enumeration Date | 2018-03-01 |
| Last Update Date | 2018-05-30 |