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Individual

MR. CARLTON W SNOW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
42433 FORD RD, CANTON, MI 48187-3303
(734) 981-3900
(734) 981-7570
Mailing address
1421 W GREENFIELD CT, ANN ARBOR, MI 48108-2781

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302023500
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5302023500
PHARMACIST LICENSE NUMBER
MI
Enumeration date
02/19/2007
Last updated
07/08/2007
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