Registry details
Type
Individual
Primary specialty
Pharmacist
Enumerated
Jul 11, 2024
License(s)
5302416317 (MI)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 5150 COOLIDGE HWY | Royal Oak, MI 48073-1001 | |
| LOCATION | 5150 COOLIDGE HWY | Royal Oak, MI 48073-1001 | 248-280-5010 |
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.