Individual
KATHLEEN HANNAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
271 N GROESBECK HWY, MOUNT CLEMENS, MI 48043-1546
(586) 333-5845
Mailing address
3126 CLAWSON AVE, ROYAL OAK, MI 48073-3013
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
5302410997
MI
Other
Enumeration date
06/21/2020
Last updated
06/21/2020
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