Individual
AMANDA PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
7555 TELEGRAPH RD, TAYLOR, MI 48180-2239
(313) 292-5014
Mailing address
24381 RENSSELAER ST, OAK PARK, MI 48237-1782
(954) 557-3885
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302413900
MI
Other
Enumeration date
10/11/2021
Last updated
10/11/2021
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