| NPI | 1992713317 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NABIL KHALEK Owner 734-404-0159 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: MI 5301008205) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336C0004X Pharmacy Compounding Pharmacy | |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2025-03-12 |