Individual
BHAVESHKUMAR KOTHARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
39350 9 MILE RD, NORTHVILLE, MI 48167-9164
(248) 735-6081
(248) 349-7115
Mailing address
39350 9 MILE RD, NORTHVILLE, MI 48167-9164
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302039246
MI
Other
Enumeration date
02/03/2020
Last updated
02/03/2020
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