Registry details
Type
Individual
Primary specialty
Pharmacist
Enumerated
Apr 26, 2020
License(s)
5302411532 (MI)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 16841 SCHAEFER HWY | Detroit, MI 48235-4271 | 313-442-3868 |
| MAILING | 16841 SCHAEFER HWY | Detroit, MI 48235-4271 | 313-880-1990 |
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.