Individual
MISS KELLY BETH LANGSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
DETROIT HEALTH DEPT. - HKHC MAIN PHARMACY, 1151 TAYLOR STREET, 41B, DETROIT, MI 48202-1732
(313) 876-4011
Mailing address
1151 TAYLOR ST # 41B, DETROIT, MI 48202-1732
(313) 875-0915
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302411151
MI
Other
Enumeration date
05/07/2007
Last updated
07/08/2007
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