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1023106705
CHARLES M CANVASSER
WESTLAND, MI
NPI
1023106705
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: MI 5302024145)
Enumeration Date
2006-10-10
Last Update Date
2007-07-08
Business Address
Mr. CHARLES M CANVASSER RPH
34500 FORD RD
WESTLAND, MI 48185-3090
Phone number: 734-729-2200
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Mailing Address
Mr. CHARLES M CANVASSER RPH
7343 VILLAGE SQUARE DR
WEST BLOOMFIELD, MI 48322-3384
Phone number: 248-788-0298
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