Individual
MR. BRYAN LEE LOVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
25190 VAN BORN RD, DEARBORN HTS, MI 48125-2009
(313) 292-2520
Mailing address
27686 SUTHERLAND ST, SOUTHFIELD, MI 48076-3566
(248) 552-1945
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302024023
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5302024023
PHARMACIST LICENSE NUMBER
MI
Enumeration date
10/24/2006
Last updated
07/08/2007
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