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Organization
PHYSICIANS COMPOUNDING PHARMACY
Active
Organization
PHYSICIANS COMPOUNDING PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN GRISE RAEHTZ RPH (OWNER)
(248) 758-9100
Entity
Organization
Contact information
Practice address
1900 S TELEGRAPH RD STE 102, BLOOMFIELD HILLS, MI 48302-0238
(248) 758-9100
(248) 758-1831
Mailing address
1900 S TELEGRAPH RD STE 102, BLOOMFIELD HILLS, MI 48302-0238
(248) 758-9100
(248) 758-1831
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
—
—
Other
Enumeration date
12/04/2012
Last updated
12/04/2012
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