Individual
AUSTIN LOUIS-ROOS KOPEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3850 E GRAND RIVER AVE, HOWELL, MI 48843-8593
(517) 548-9511
Mailing address
6156 FOWLERVILLE RD, FOWLERVILLE, MI 48836-9362
(810) 599-4795
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5303031627
MI
Other
Enumeration date
03/05/2021
Last updated
03/05/2021
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