MR. Michael Dennis Thibault, B.S. R.PH

NPI #1700922291 in Grosse Pointe Farms, Michigan

Provider Information

NPI Number: 1700922291
Entity Type: Individual
Name: MR. Michael Dennis Thibault, B.S. R.PH
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: B.S. R.PH
Enumeration Date: Jan 30, 2007
Last Updated: Mar 7, 2017

Practice Location

Address: 82 MAPLETON RD
City: Grosse Pointe Farms
State: Michigan
ZIP Code: 48236-3615
Phone: (313) 885-5679

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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