Individual
NGHI HA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
24 FRANK LLOYD WRIGHT DR SPC 5736, ANN ARBOR, MI 48105-9484
(734) 232-6853
Mailing address
24 FRANK LLOYD WRIGHT DR SPC 5736, ANN ARBOR, MI 48105-9484
(734) 232-6853
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
5302042623
MI
Other
Enumeration date
01/10/2024
Last updated
01/10/2024
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