Individual
MARIAM G HANAKACHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
7498 HAGGERTY RD, WEST BLOOMFIELD, MI 48322-1067
(248) 592-2063
Mailing address
38545 LOWELL DR, FARMINGTON HILLS, MI 48331-1177
(248) 225-1036
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302413905
MI
Other
Enumeration date
10/15/2021
Last updated
10/15/2021
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