Individual
JAVIER OLIVAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
4562 W HOUGHTON LAKE DR, HOUGHTON LAKE, MI 48661
(734) 277-3114
Mailing address
269 RUBY COURT, UNIT 2, WEST BRANCH, MI 48661
(734) 277-3114
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302036660
MI
Other
Enumeration date
07/20/2016
Last updated
07/20/2016
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