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Individual

MRS. MARJORIE AMBROSIO-WHITSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2799 W GRAND BLVD, HENRY FORD LOBBY PHARMACY, DETROIT, MI 48202-2608
(313) 916-5628
Mailing address
12189 EMMA MARIA CRES RR2, TECUMSEH, ONTARIO N8N 2-M1
(519) 735-9924

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302029186
MI

Other

Enumeration date
05/08/2007
Last updated
07/08/2007
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