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Organization
TARGET
Active
Organization
TARGET
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOE DAVIS (RXM)
(810) 229-4264
Entity
Organization
Contact information
Practice address
6944 LAKEWAY ST, YPSILANTI, MI 48197-1052
(734) 904-6863
Mailing address
6944 LAKEWAY ST, YPSILANTI, MI 48197-1052
(734) 904-6863
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302025954
MI
Other
Enumeration date
11/19/2015
Last updated
11/19/2015
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