Individual
JIJI ISAAC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
209 E 12 MILE RD, ROYAL OAK, MI 48073-4114
(248) 548-6180
Mailing address
209 E 12 MILE RD, ROYAL OAK, MI 48073-4114
(248) 548-6180
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302412056
MI
Other
Enumeration date
01/27/2020
Last updated
01/27/2020
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