NPI 1003118175

Kelly Marie Procailo, PHARMD

Practitioner Pharmacist Livonia, MI

Practice location

Address: 29965 McIntyre St, Livonia, MI 48150-3026
Phone: (734) 612-7752
Mailing address: 57679 Cider Mill Dr, New Hudson, MI 48165-9480

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 5302035561 (MI)

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Registry record

NPI: 1003118175
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Nov 2010
Record last updated: 2 Apr 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.