Registry details
Type
Individual
Primary specialty
Pharmacist
Enumerated
Jan 28, 2020
License(s)
5302042280 (MI)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 2701 S TELEGRAPH RD | Dearborn, MI 48124-3276 | |
| LOCATION | 2701 S TELEGRAPH RD | Dearborn, MI 48124-3276 | 313-562-5003 |
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.