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Nancy Wanna

Pharmacist in Northville, MI. Individual provider (NPI-1).

NPI number1164053401
StatusActive
Last updated in NPPESJan 27, 2020

Details

NPI
1164053401
Entity type
Individual (NPI-1)
Name
Nancy Wanna
Sex
Female
Sole proprietor
Yes
Enumeration date
Jan 27, 2020
Certification date
Jan 27, 2020
Last updated
Jan 27, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist5302038516MIYes

Practice location

44300 5 Mile Rd
Northville, MI 48168-9504

Phone 734-416-1883

Mailing address

6741 Chelsea Brg
West Bloomfield, MI 48322-3076

Phone 248-252-3728

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