Individual
REGINALD BEBRI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1950 W CENTRE AVE, PORTAGE, MI 49024-5334
(269) 321-0664
Mailing address
801 PATRICIA PLACE DR, WESTLAND, MI 48185-3828
(734) 776-6084
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
5302413720
MI
Other
Enumeration date
09/13/2021
Last updated
09/13/2021
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