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Organization

MILLENNIUM PHARMACY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ALIDAH NATHOO (RPH)
(734) 451-5009
Entity
Organization

Contact information

Practice address
1102 ANN ARBOR RD W, PLYMOUTH, MI 48170-2131
(734) 451-5009
(734) 451-2413
Mailing address
1102 ANN ARBOR RD W, PLYMOUTH, MI 48170-2131
(734) 451-5009
(734) 451-2413

Taxonomy

Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
5301007005
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4102279
MI
Enumeration date
05/18/2007
Last updated
08/22/2020
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