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Individual
MICHAEL A PATTI
Active
Individual
MICHAEL A PATTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Taxonomy
Speciality
Code
Description
License number
State
1835G0303X
Geriatric Pharmacist
Primary
5302413616
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5302413616
PHARMACIST LICENSE
MI
01
—
5315228364
CONTROLLED SUBSTANCE LICENSE
MI
Enumeration date
08/18/2021
Last updated
08/18/2021
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