Registry details
Type
Individual
Primary specialty
Pharmacist
Enumerated
Dec 15, 2022
License(s)
5315237757 (MI), 5302414941 (MI)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 20250 W 7 MILE RD | Detroit, MI 48219-3469 | 313-535-9755 |
| MAILING | 20232 RIVER OAKS DR | Dearborn Heights, MI 48127-2763 | 313-525-1915 |
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