Individual
MRS. KIMBERLY LOUISE THORNTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
2888 W GRAND BLVD, DETROIT, MI 48202-2612
(313) 875-5614
Mailing address
2888 W GRAND BLVD, DETROIT, MI 48202-2612
(313) 875-5614
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302027162
MI
Other
Enumeration date
03/15/2017
Last updated
03/15/2017
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