| NPI | 1972163749 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHALED HUSSAIN Owner 586-413-7188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2019-06-14 |
| Last Update Date | 2019-06-14 |