Individual
KENNETH L KOORHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
42433 FORD RD, CANTON, MI 48187-3303
(734) 981-3900
Mailing address
3889 HILLSIDE DR, YPSILANTI, MI 48197-3737
(734) 434-2406
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302022504
MI
Other
Enumeration date
01/20/2007
Last updated
07/08/2007
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