JUSTIN R SUPER

DETROIT, MI
NPI1295283778
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1835P1200X Pharmacist, Pharmacotherapy
(Licence: MI  5302041356)
Enumeration Date2016-09-14
Last Update Date2016-09-14
Business Address
Dr. JUSTIN R SUPER Pharm.D.
21431 GRAND RIVER AVE
DETROIT, MI 48219-3801
Phone number: 313-778-7610
Mailing Address
Dr. JUSTIN R SUPER Pharm.D.
5580 LARKINS DR
TROY, MI 48085
Phone number: 131-778-7610