MR. Moe Bazzy

NPI #1588945067 in Lincoln Park, Michigan

Provider Information

NPI Number: 1588945067
Entity Type: Individual
Name: MR. Moe Bazzy
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Aug 29, 2011
Last Updated: Aug 29, 2011

Practice Location

Address: 1901 SOUTHFIELD RD
City: Lincoln Park
State: Michigan
ZIP Code: 48146-4513
Phone: (313) 382-3578

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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