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Organization
PNG RX CONSULTING LLC
Active
Organization
PNG RX CONSULTING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROUA DABAL PHARMD (OWNER/FOUNDER/CEO)
(248) 565-7113
Entity
Organization
Contact information
Practice address
2034 LAKE WIND DR, WEST BLOOMFIELD, MI 48324-1823
(248) 565-7113
Mailing address
2034 LAKE WIND DR, WEST BLOOMFIELD, MI 48324-1823
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
—
—
1835G0303X
Geriatric Pharmacist
—
—
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
—
—
1835P2201X
Ambulatory Care Pharmacist
—
—
Other
Enumeration date
04/01/2022
Last updated
04/01/2022
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