Registry details
Type
Individual
Primary specialty
Pharmacist
Enumerated
Jan 23, 2023
License(s)
5302414530 (MI)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 1133 DYEMEADOW LN | Flint, MI 48532-2316 | |
| LOCATION | 1133 DYEMEADOW LN | Flint, MI 48532-2316 | 910-394-0548 |
Watch this provider
Get a webhook/email the day this provider is added to the OIG-LEIE exclusion list or appears in an FDA enforcement action.