OPAL M BACON

DETROIT, MI
NPI1285177493
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1835P1300X Pharmacist Psychiatric
(Licence: MI  5302044753)
Enumeration Date2016-11-21
Last Update Date2016-11-21
Business Address
OPAL M BACON PHARMD
1 FORD PLACE, 1C OUTPATIENT PSYCHIATRY
DETROIT, MI 48202
Phone number: 313-556-7882
Mailing Address
OPAL M BACON PHARMD
2065 ANITA AVE
GROSSE POINTE WOODS, MI 48236-1427
Phone number:
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