Registry details
Type
Individual
Primary specialty
Pharmacist
Enumerated
Sep 1, 2006
License(s)
5302031404 (MI)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 25874 LILA LN | Dearborn Heights, MI 48127-4139 | 313-377-3008 |
| LOCATION | 22341 W 8 MILE RD | Detroit, MI 48219-1217 | 313-533-1422 |
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