David M Schackow SR., RPH

NPI #1982995163 in Niles, Michigan

Provider Information

NPI Number: 1982995163
Entity Type: Individual
Name: David M Schackow SR., RPH
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: RPH
Enumeration Date: Apr 22, 2011
Last Updated: Apr 22, 2011

Practice Location

Address: 11 S 11TH ST
City: Niles
State: Michigan
ZIP Code: 49120-2757
Phone: (269) 684-6556

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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