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1477641702
MORRIS PROSTAK
DEARBORN HEIGHTS, MI
NPI
1477641702
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: MI 5302020106)
Enumeration Date
2006-10-11
Last Update Date
2007-07-08
Business Address
-- MORRIS PROSTAK rph
8641 N TELEGRAPH RD
DEARBORN HEIGHTS, MI 48127-1425
Phone number: 313-274-5300
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Mailing Address
-- MORRIS PROSTAK rph
26019 WOODVILLA PL
SOUTHFIELD, MI 48076-4733
Phone number: 248-569-7118
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