Individual
DENISE RANDALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
31200 SCHOENHERR RD, WARREN, MI 48088-7048
(586) 294-0110
Mailing address
20086 BANNISTER DR, MACOMB, MI 48044-5942
(586) 228-1361
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302029504
MI
Other
Enumeration date
06/16/2012
Last updated
06/16/2012
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