Individual
BLAIR ALLEN WILLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
23201 MARTER RD, SAINT CLAIR SHORES, MI 48080-2729
(586) 773-1100
Mailing address
14060 27 MILE RD, WASHINGTON, MI 48094-2514
(586) 786-7251
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302024866
MI
Other
Enumeration date
05/28/2010
Last updated
05/28/2010
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