Individual
MANSOOR MUSHTAQ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
75 S DEXTER ST, PINCKNEY, MI 48169-9071
(734) 878-2047
Mailing address
27191 GATEWAY DR W APT 201, FARMINGTON HILLS, MI 48334-4987
(248) 991-5989
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302044240
MI
Other
Enumeration date
09/14/2017
Last updated
09/14/2017
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