Individual
BEDERADINE MAWARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
15120 MICHIGAN AVE # C, DEARBORN, MI 48126-3768
(313) 733-8034
Mailing address
3322 EDSEL ST, DEARBORN, MI 48120-1433
(313) 491-9365
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302415575
MI
Other
Enumeration date
12/11/2023
Last updated
12/11/2023
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