Organization
XRX, INC
Active
Other names
Stadium Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. XAVIER JAMAL TATO PHARM.D. (PHARMACIST OWNER)
(734) 913-4752
Entity
Organization
Contact information
Practice address
1930 W STADIUM BLVD, ANN ARBOR, MI 48103-4504
(734) 913-4752
(734) 913-9032
Mailing address
1930 W STADIUM BLVD, ANN ARBOR, MI 48103-4504
(734) 913-4752
(734) 913-9032
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301007692
MI
Other
Enumeration date
04/12/2007
Last updated
09/12/2017
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