| NPI | 1942953112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABATESAM ELMATHIL Pharmacist In Charge 313-986-8150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2022-01-28 |
| Last Update Date | 2022-11-08 |