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Individual

MR. ANTHONY MAURO COPPOLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH.

Contact information

Practice address
DYNAMIC CARE PHARMACY, 4121 W. 13 MILE ROAD, ROYAL OAK, MI 48073
(248) 850-1802
(248) 850-1803
Mailing address
4121 W 13 MILE RD, ROYAL OAK, MI 48073-6655
(248) 850-1802
(248) 850-1803

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
28RI01724700
NJ
183500000X
Pharmacist
Primary
5302413160
MI

Other

Enumeration date
03/11/2010
Last updated
01/09/2025
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