Individual
MR. EDWARD JOHN SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
44201 DEQUINDRE RD, TROY, MI 48085-1117
(248) 964-1078
Mailing address
44201 DEQUINDRE RD, TROY, MI 48085-1117
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302025166
MI
Other
Enumeration date
04/05/2011
Last updated
04/05/2011
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