| NPI | 1972795854 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLENE WILLIAMS Owner/Corp President 313-881-3188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: MI 5301008445) |
| Enumeration Date | 2007-08-14 |
| Last Update Date | 2007-08-14 |