MAIN MAITAH

DETROIT, MI
NPI1245643014
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: MI  5302037681)
Enumeration Date2014-06-09
Last Update Date2014-06-09
Business Address
-- MAIN MAITAH RPH
19160 GREENFIELD RD
DETROIT, MI 48235-2001
Phone number: 313-862-2603
Mailing Address
-- MAIN MAITAH RPH
19160 GREENFIELD RD
DETROIT, MI 48235-2001
Phone number: