Individual
MR. JOHN KOPACZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
11800 E 12 MILE RD, WARREN, MI 48093-3472
(586) 573-5850
(586) 573-5853
Mailing address
11403 COMMON RD, WARREN, MI 48093-6509
(586) 573-7193
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302021910
MI
Other
Enumeration date
04/03/2007
Last updated
07/08/2007
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