Individual
MS. MARIA AGOSTINA IANNUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
14500 HALL RD, STERLING HEIGHTS, MI 48313-1229
(586) 247-2990
(586) 247-2983
Mailing address
43639 TRILLIUM DR, STERLING HEIGHTS, MI 48314-1951
(586) 254-1403
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302027445
MI
Other
Enumeration date
03/28/2007
Last updated
07/08/2007
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