Individual
DYANIA MACKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3456 W VERNOR HWY, DETROIT, MI 48216-1551
(313) 789-8934
Mailing address
3456 W VERNOR HWY, DETROIT, MI 48216-1551
(313) 789-8934
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302037372
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1922451806
—
MI
Enumeration date
08/01/2018
Last updated
05/10/2023
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