Individual
MR. EDWARD C. GHANNAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
113 W GRAND RIVER RD, WEBBERVILLE, MI 48892-5120
(517) 521-3484
Mailing address
PO BOX 609, NOVI, MI 48376-0609
(517) 521-3484
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302027024
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5302027024
RPH LICENSE NUMBER
MI
Enumeration date
08/23/2006
Last updated
02/14/2017
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