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Maria Ponomareva

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

NPI number1982160867
StatusActive
Last updated in NPPESFeb 15, 2019

Details

NPI
1982160867
Entity type
Individual (NPI-1)
Name
Maria Ponomareva
Sex
Female
Sole proprietor
Yes
Enumeration date
Feb 15, 2019
Last updated
Feb 15, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist5302040225MIYes

Practice location

41460 Haggerty Cir S
Canton, MI 48188-2227

Phone 888-282-5166

Mailing address

2516 Black Pine Trail Dr
Troy, MI 48098-4102

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