Individual
IVAN PAUL KASHAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
4118 BLACKBURN DR, WEST BLOOMFIELD, MI 48323-3006
(248) 721-5808
Mailing address
4118 BLACKBURN DR, WEST BLOOMFIELD, MI 48323-3006
(248) 721-5808
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302040970
MI
Other
Enumeration date
01/27/2023
Last updated
01/27/2023
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