Mario Pengili

NPI #1962161687 in Shelby Twp, Michigan

Provider Information

NPI Number: 1962161687
Entity Type: Individual
Name: Mario Pengili
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Dec 9, 2021
Last Updated: Dec 9, 2021

Practice Location

Address: 2115 25 MILE RD
City: Shelby Twp
State: Michigan
ZIP Code: 48316-1097
Phone: (248) 652-2227

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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