Individual
ALEXA JOH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13664 23 MILE RD, SHELBY TOWNSHIP, MI 48315-2952
(586) 247-1199
Mailing address
3887 ANDOVER AVE, AUBURN HILLS, MI 48326-3030
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302411924
MI
Other
Enumeration date
05/19/2020
Last updated
05/19/2020
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