12 Mile Road Pharmacy LLC
NPI #1275170441 in Berkley, Michigan
Provider Information
- NPI Number
- 1275170441
- Entity Type
- Organization
- Organization Name
- 12 Mile Road Pharmacy LLC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Dec 5, 2019
- Last Updated
- Mar 18, 2021
Practice Location
Authorized Official
- Name
- EVAN JOHNSON
- Title
- OWNER
- Phone
- (248) 677-3584
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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