Individual
CHRISTINE GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2990 W 12 MILE RD, BERKLEY, MI 48072-1414
(313) 445-7688
Mailing address
2222 COOLIDGE HWY, APT 103, TROY, MI 48084-3622
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
L2441311
MI
Other
Enumeration date
01/10/2014
Last updated
01/10/2014
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