Individual
JUSTIN HADDAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4673 CONNER ST, DETROIT, MI 48215-2028
(313) 458-7529
(313) 458-7547
Mailing address
4673 CONNER ST, DETROIT, MI 48215-2028
(313) 458-7529
(313) 458-7547
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302412159
MI
Other
Enumeration date
04/20/2021
Last updated
04/20/2021
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