Individual
MR. BENEDICTO BRAGANZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
26233 HOOVER RD, WARREN, MI 48089-1100
(586) 754-1191
(586) 754-0623
Mailing address
49461 OXLEY RD, MACOMB, MI 48044-1520
(586) 864-3787
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302035664
MI
Other
Enumeration date
11/27/2019
Last updated
11/27/2019
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