Individual
GRACY MATHAI-MATHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2950 S NEWBURGH RD, WAYNE, MI 48184-1002
(734) 728-6500
Mailing address
770 PHEASANT WOODS DR, CANTON, MI 48188-5224
(734) 552-6078
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302027471
MI
Other
Enumeration date
02/06/2020
Last updated
11/30/2020
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