NPI 1023640679

James Widmayer, PHARMACIST

Practitioner Pharmacist Brighton, MI

Practice location

Address: 5757 Whitmore Lake Rd, Brighton, MI 48116-1962
Phone: (810) 229-9772
Fax: (810) 229-4913
Mailing address: 1485 Hunters Lake Dr, Milford, MI 48380-3246

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 5302024865 (MI)

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Registry record

NPI: 1023640679
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Feb 2020
Record last updated: 11 Feb 2020

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.