Individual
DAVID JOSEPH REALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2900 N SAGINAW ST, FLINT, MI 48505-4452
(810) 789-9141
Mailing address
225 E 5TH ST STE 300, FLINT, MI 48502-1641
(810) 406-4941
(810) 234-7068
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302027489
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5302027489
STATE LICENSE
MI
Enumeration date
04/17/2019
Last updated
04/17/2019
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