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Stephaine Rose Berri

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

NPI number1194389130
StatusActive
Last updated in NPPESApr 25, 2019

Details

NPI
1194389130
Entity type
Individual (NPI-1)
Name
Stephaine Rose Berri
Sex
Female
Sole proprietor
No
Enumeration date
Apr 25, 2019
Last updated
Apr 25, 2019

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist5302041311MIYes

Practice location

41460 Haggerty Cir S
Canton, MI 48188-2227

Phone 888-282-5166

Mailing address

41460 Haggerty Cir S
Canton, MI 48188-2227

Phone 888-282-5166

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Pharmacist providers in Canton, MI

All 152 Pharmacist providers in Canton · All 2,409 providers in Canton

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