Organization
B12 PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATASHA DUVALL PHARMD (PHARMACIST IN CHARGE)
(248) 955-9855
Entity
Organization
Contact information
Practice address
3784 12 MILE RD, BERKLEY, MI 48072-1112
(248) 955-9855
(248) 955-9890
Mailing address
3784 12 MILE RD, BERKLEY, MI 48072-1112
(248) 955-9855
(248) 955-9890
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
03/24/2021
Last updated
01/04/2024
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