Individual
MR. JUSTIN RYAN ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
2950 S NEWBURGH RD, WAYNE, MI 48184-1002
(734) 728-6500
Mailing address
2950 S NEWBURGH RD, WAYNE, MI 48184-1002
(248) 728-6500
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302030077
MI
Other
Enumeration date
02/13/2020
Last updated
02/13/2020
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