Registry details
Type
Individual
Primary specialty
Pharmacist
Enumerated
Sep 10, 2018
License(s)
5302042742 (MI)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 3150 WOODWARD AVE APT 319 | Detroit, MI 48201-2748 | |
| LOCATION | 4201 SAINT ANTOINE ST | Detroit, MI 48201-2153 | 313-745-4036 |
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