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Individual

ISAIAH ETUONU OKOH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
R.PH.

Contact information

Practice address
14820 MACK AVE, RITE AID PHARMACY #7758, DETROIT, MI 48215-2526
(313) 331-1038
Mailing address
29048 GLOEDE DR, APT. 1, WARREN, MI 48088-4012
(586) 585-9676
(586) 585-9676

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302037470
MI

Other

Enumeration date
04/25/2007
Last updated
01/24/2021
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