| NPI | 1972938140 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL STAYER President/Pharmacist 248-669-5757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: MI 5301010104) |
| Additional Taxonomies | 3336C0004X Pharmacy Compounding Pharmacy (Licence: MI 5301010104) |
| Enumeration Date | 2013-09-06 |
| Last Update Date | 2013-09-06 |