Individual
CHI N NGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
31501 JOY RD, WESTLAND, MI 48185-1641
(248) 238-7714
Mailing address
22530 SHERIDAN RD, NOVI, MI 48375-4458
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302039610
MI
Other
Enumeration date
01/30/2020
Last updated
01/30/2020
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