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1295283778
JUSTIN R SUPER
DETROIT, MI
NPI
1295283778
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1835P1200X Pharmacist, Pharmacotherapy
(Licence: MI 5302041356)
Enumeration Date
2016-09-14
Last Update Date
2016-09-14
Business Address
Dr. JUSTIN R SUPER Pharm.D.
21431 GRAND RIVER AVE
DETROIT, MI 48219-3801
Phone number: 313-778-7610
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Mailing Address
Dr. JUSTIN R SUPER Pharm.D.
5580 LARKINS DR
TROY, MI 48085
Phone number: 131-778-7610
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