Individual
IVANA ELHALLAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
37155 HARPER AVE, CLINTON TOWNSHIP, MI 48036-3013
(248) 583-1854
Mailing address
12253 SYRACUSE ST, TAYLOR, MI 48180-4008
(313) 247-7913
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302047690
MI
Other
Enumeration date
06/22/2020
Last updated
06/22/2020
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