Individual
AMY PALLISCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1000 TOWN CTR, SOUTHFIELD, MI 48075-1183
(734) 552-9601
Mailing address
32340 WASHINGTON ST, LIVONIA, MI 48150-3880
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302042112
MI
Other
Enumeration date
08/07/2020
Last updated
08/07/2020
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