NPI 1154094456

Callistus Umelogu

Practitioner Pharmacy Technician Waterford, MI

Practice location

Address: 4350 Dixie Hwy, Waterford, MI 48329-3506
Phone: (248) 674-0466
Mailing address: 47450 Ellery Ln, Canton, MI 48187-0078

Registered specialties

Pharmacy Technician Primary

Pharmacy Service Providers Taxonomy 183700000X Licence 5351016697 (MI)

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Registry record

NPI: 1154094456
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Aug 2021
Record last updated: 1 Aug 2021

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.