NPI 1043538507

Brian Thomas Mabie

Practitioner Pharmacist Canton, MI

Practice location

Address: 42309 Oakland Dr, Canton, MI 48188-5218
Phone: (248) 448-4815

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 5302025416 (MI)

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Registry record

NPI: 1043538507
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 May 2010
Record last updated: 8 May 2010

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.