Individual
KATHLEEN IDRISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1935 CAMPBELL ST, DETROIT, MI 48209-2133
(313) 842-3410
(313) 841-9240
Mailing address
1935 CAMPBELL ST, DETROIT, MI 48209-2133
(313) 842-3410
(313) 841-9240
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302043168
MI
Other
Enumeration date
01/30/2020
Last updated
01/30/2020
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