Individual
MAHENDRA RAGUPATHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
560 W 14 MILE RD, CLAWSON, MI 48017-1930
(248) 430-8775
Mailing address
1893 SHEPHERDS DR, TROY, MI 48084-5405
(248) 854-1724
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302036820
MI
Other
Enumeration date
07/03/2021
Last updated
07/03/2021
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