| NPI | 1992259246 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEHAL PATEL Owner 734-968-2093 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Additional Taxonomies | 3336M0002X Pharmacy Mail Order Pharmacy |
| 3336S0011X Pharmacy Specialty Pharmacy | |
| 333600000X Pharmacy | |
| 3336C0004X Pharmacy Compounding Pharmacy | |
| Enumeration Date | 2016-08-03 |
| Last Update Date | 2016-10-07 |