Individual
MR. JASON SCOTT GRILLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
19855 W 12 MILE RD, SOUTHFIELD, MI 48076
(248) 559-0801
Mailing address
31084 RIVERS EDGE CT, BEVERLY HILLS, MI 48025
(248) 506-6301
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302032392
MI
Other
Enumeration date
11/21/2019
Last updated
11/21/2019
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