Individual
KENNETH WAYNE OLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
29200 SCHOOLCRAFT RD, LIVONIA, MI 48150-2228
(734) 523-1710
(734) 523-1660
Mailing address
18414 GLASTONBURY DR, LIVONIA, MI 48152-4067
(734) 462-1679
(734) 462-1679
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302024052
MI
Other
Enumeration date
04/26/2007
Last updated
07/08/2007
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