Individual
JILLIAN CHERNIAWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
29520 HARPER AVE, SAINT CLAIR SHORES, MI 48081-1211
(586) 447-3208
Mailing address
29520 HARPER AVE, SAINT CLAIR SHORES, MI 48081-1211
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302041145
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5302041145
STATE LICENSE
MI
Enumeration date
05/13/2015
Last updated
05/13/2015
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