Individual
FAUSTINA IFEOMA IROHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17653 12 MILE RD, LATHRUP VILLAGE, MI 48076
(248) 943-1123
(248) 595-8299
Mailing address
30917 WESTWOOD RD, FARMINGTON HILLS, MI 48331-1466
(248) 943-1123
(248) 595-8299
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302027878
MI
Other
Enumeration date
12/01/2011
Last updated
12/01/2011
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