Individual
MANHAL GOSEIF BAKKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM D
Contact information
Practice address
450 N PARK BLVD, LAKE ORION, MI 48362-3152
(248) 814-7315
Mailing address
2148 ORCHARD CREST ST, SHELBY TOWNSHIP, MI 48317-4540
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302415464
MI
Other
Enumeration date
08/16/2023
Last updated
08/16/2023
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