Individual
MR. BONIFACE IFEANYI EZEOKOLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9475 E PICKWICK CIR, #28, TAYLOR, MI 48180-3857
(313) 334-3202
Mailing address
9475 E PICKWICK CIR, #28, TAYLOR, MI 48180-3857
(313) 334-3202
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302036557
MI
Other
Enumeration date
10/04/2011
Last updated
10/04/2011
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