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Organization
TARGET
Active
Organization
TARGET
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELISSA L MAI (RPH)
(248) 430-0063
Entity
Organization
Contact information
Practice address
30333 SOUTHFIELD RD, SOUTHFIELD, MI 48076-1352
(248) 430-0063
Mailing address
30333 SOUTHFIELD RD, SOUTHFIELD, MI 48076-1352
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302030947
MI
Other
Enumeration date
11/10/2011
Last updated
11/10/2011
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