Individual
MRS. LINDA MAMOU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
20877 HALL RD, MACOMB, MI 48044-4256
(586) 464-1129
(586) 464-1139
Mailing address
20877 HALL RD, MACOMB, MI 48044-4256
(586) 464-1129
(586) 464-1139
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302031466
MI
Other
Enumeration date
06/08/2011
Last updated
06/08/2011
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