Individual
SHAH ALAM BHUIYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
24831 RYAN RD, WARREN, MI 48091-3390
(586) 486-5037
Mailing address
3815 TIMBERCREST DR, TROY, MI 48083-6813
(248) 740-1582
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5302037191
MI
Other
Enumeration date
08/01/2017
Last updated
08/01/2017
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