Individual
ASHISH TYAGI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
15348 FORT ST, SOUTHGATE, MI 48195-1304
(734) 324-4000
Mailing address
15348 FORT ST, SOUTHGATE, MI 48195-1304
(810) 488-9876
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302039399
MI
Other
Enumeration date
03/31/2022
Last updated
06/14/2023
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