Individual
BETHUNE HA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25016 GRATIOT AVE, EASTPOINTE, MI 48021-3319
(586) 498-8426
Mailing address
25016 GRATIOT AVE, EASTPOINTE, MI 48021-3319
(586) 498-8426
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302411974
MI
Other
Enumeration date
10/24/2022
Last updated
10/24/2022
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