| NPI | 1992813364 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEIL TUBBEN President 586-757-6505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: MI 5301010985) |
| Enumeration Date | 2006-08-27 |
| Last Update Date | 2016-09-29 |