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Retail Pharmacy

Macomb, Michigan

Provider NPI: 1588823249

Organization Information:

Practice Location:
17900 23 MILE RD STE 104 MACOMB, MI 48044 US
Tel: 586-868-9050  Fax: --

Business Mailing Address:
Tel: --  Fax: --


PrimaryCodeCategory/DescriptionStateLicense Number
Community/Retail Pharmacy

Other Provider Identifiers:

Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin


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