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Organization
RITE AID
Active
Organization
RITE AID
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL WODECKI (PHARMACIST)
(586) 713-8676
Entity
Organization
Contact information
Practice address
25996 GRATIOT AVENUE, ROSEVILLE, MI 48066
(586) 774-1070
Mailing address
25996 GRATIOT AVENUE, ROSEVILLE, MI 48066
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302039468
MI
Other
Enumeration date
06/12/2014
Last updated
06/12/2014
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