Provider First Line Business Practice Location Address:
428 CHURCH ST
Provider Second Line Business Practice Location Address:
COLLEGE OF PHARMACY-UNIVERSITY OF MICHIGAN
Provider Business Practice Location Address City Name:
ANN ARBOR
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48109-1065
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
734-763-3525
Provider Business Practice Location Address Fax Number:
734-763-4480
Provider Enumeration Date:
07/06/2010