Individual
DR. MARISSA SARAH BLUMENTHAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2512 ROCHESTER RD, ROYAL OAK, MI 48073-3635
(248) 733-4325
Mailing address
163 WALNUT ST, WYANDOTTE, MI 48192-4632
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
5302046197
MI
1835P1200X
Pharmacotherapy Pharmacist
Primary
5315163134
MI
1835P1200X
Pharmacotherapy Pharmacist
60810
TX
Other
Enumeration date
07/14/2025
Last updated
07/15/2025
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