Individual
CRISTIAN VILLARREAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2400 FORT ST, LINCOLN PARK, MI 48146-2496
(313) 381-2400
Mailing address
1365 FORT PARK BLVD, LINCOLN PARK, MI 48146-1644
(313) 587-5553
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302415247
MI
Other
Enumeration date
07/14/2023
Last updated
07/14/2023
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