Individual
JACOB CHAFFEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
600 E. LAFAYETTE BLVD, MAIL CODE 512C, DETROIT, MI 48226
(313) 448-3832
Mailing address
1062 WAYBURN ST, #2, GROSSE POINTE PARK, MI 48230-1476
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
530204118
MI
Other
Enumeration date
11/30/2016
Last updated
11/30/2016
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