Individual
ELISEO RENTERIA JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
15250 24 MILE RD, MACOMB, MI 48042-5817
(586) 677-1108
(586) 677-1129
Mailing address
15250 24 MILE RD, MACOMB, MI 48042-5817
(586) 677-1108
(586) 677-1129
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
5303037246
FM
Other
Enumeration date
06/24/2021
Last updated
06/24/2021
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