Individual
ANILA MATHEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
49310 VAN DYKE AVE STE 100, SHELBY TOWNSHIP, MI 48317-1337
(586) 884-7710
Mailing address
1704 BLUSHING CT, ROCHESTER HILLS, MI 48307-3584
(248) 495-9681
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302034474
MI
Other
Enumeration date
05/13/2024
Last updated
05/13/2024
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