Registry details
Type
Individual
Primary specialty
Pharmacist
Enumerated
Aug 5, 2020
License(s)
5302412815 (MI)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 6001 W OUTER DR STE 110 | Detroit, MI 48235-2626 | 313-966-2979 |
| MAILING | 6001 W OUTER DR STE 110 | Detroit, MI 48235-2626 | 313-966-2979 |
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