Individual
ANCY THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15051 E 13 MILE RD, WARREN, MI 48088-3312
(586) 415-6565
Mailing address
15051 E 13 MILE RD, WARREN, MI 48088-3312
(586) 415-6565
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302031018
MI
Other
Enumeration date
01/29/2020
Last updated
01/29/2020
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