Individual
BIJI CHACKUNKAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8850 NEWBURGH RD, LIVONIA, MI 48150-3425
(734) 524-9663
(734) 524-9670
Mailing address
20086 IRVING DR, LIVONIA, MI 48152-4113
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302034209
MI
Other
Enumeration date
08/31/2011
Last updated
08/31/2011
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