Individual
DALAL ALLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4151 S CANTON CENTER RD, CANTON, MI 48188-2489
(734) 752-1109
Mailing address
227 HIGHLANDS DR, CANTON, MI 48188-3074
(734) 752-1109
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302412002
MI
Other
Enumeration date
08/23/2019
Last updated
08/23/2019
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