Individual
MARIO PENGILI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2115 25 MILE RD, SHELBY TWP, MI 48316-1097
(248) 652-2227
Mailing address
49617 W CENTRAL PARK, SHELBY TWP, MI 48317-6354
(586) 258-9842
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5351016301
MI
Other
Enumeration date
12/09/2021
Last updated
12/09/2021
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