Individual
MR. BLAND JOHN KHALIFAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
17170 HARPER AVE, DETROIT, MI 48224-1955
(313) 881-3653
(313) 882-0647
Mailing address
1007 CADIEUX RD, GROSSE POINTE PARK, MI 48230-1511
(313) 881-5374
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302022178
MI
Other
Enumeration date
06/25/2010
Last updated
06/25/2010
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