Ikhlas R Putrus
Ikhlas R Putrus is a Pharmacist in Dearborn, Michigan. Licensed in Michigan. Registered with an NPI since 2006.
- Licensed in
- MI
- In the registry since
- 2006
Practice location Address checks out
23100 Cherry Hill StDearborn, MI 48124-1493
Phone: (313) 274-5990
Fax: (313) 274-1479
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pharmacist (primary) | Taxonomy 183500000X · Licence 5302025677 (MI) |
|---|
Record details
| NPI number | 1720180672 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | September 2, 2006 |
| Last updated in NPPES | July 8, 2007 |
| Mailing address | 23100 Cherry Hill St, Dearborn, MI 48124-1493 |
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