Individual
GIA P HUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
1339 E GRAND RIVER AVE, PORTLAND, MI 48875-1629
(517) 647-4704
(517) 647-6896
Mailing address
5424 W HEATHWOOD DR SE, KENTWOOD, MI 49512-9515
(616) 656-2728
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302030408
MI
Other
Enumeration date
03/08/2007
Last updated
07/08/2007
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