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Individual

ERNEST SHEPHERD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMACIST

Contact information

Practice address
25050 ALLEN RD, WOODHAVEN, MI 48183-4398
(734) 675-6110
Mailing address
25050 ALLEN RD, WOODHAVEN, MI 48183

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
229241
MI

Other

Enumeration date
06/16/2010
Last updated
06/16/2010
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