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Organization
RIET AID
Active
Organization
RIET AID
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY MICHAEL BRION (PHARMACIST)
(517) 745-8026
Entity
Organization
Contact information
Practice address
2255 S JACKSON RD, JACKSON, MI 49201
(517) 780-9536
(517) 782-9140
Mailing address
2255 S JACKSON RD, JACKSON, MI 49201-8344
(517) 780-9536
(517) 782-9140
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302023467
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5302023467
PHARMACY
MI
Enumeration date
06/09/2014
Last updated
06/09/2014
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