Samuel N Chrusciel
Pharmacist in Warren, MI. Individual provider (NPI-1).
NPI number1962033944
StatusActive
Last updated in NPPESJan 29, 2020
Details
- NPI
- 1962033944
- Entity type
- Individual (NPI-1)
- Name
- Samuel N Chrusciel
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 29, 2020
- Certification date
- Jan 29, 2020
- Last updated
- Jan 29, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 5302042637 | MI | Yes |
Practice location
13608 E 9 Mile RdWarren, MI 48089-2716
Phone 586-771-9700
Mailing address
13608 E 9 Mile RdWarren, MI 48089-2716
Phone 586-771-9700
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