Individual
DR. ALIA BRODIE
Active
Individual
DR. ALIA BRODIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMACIST
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5302040530
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5302040530
PHARMACIST LICSENCE
MI
Enumeration date
07/23/2016
Last updated
07/23/2016
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