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NPI Code Detail

MEDICARE: CAMILLE MINETTA HOPE RPH

MEDICARE: CAMILLE MINETTA HOPE RPH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist5302027087MI

General Provider Information

NPI Number : 1952620627
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAMILLE MINETTA HOPE RPH
Provider Business Mailing Address
First Line : 17858 BERG RD
Second Line :
City : DETROIT
State : MI
Zip : 48219-2232
Country : US
Telephone Number : 313-655-8951
Fax Number :
Provider Business Practice Location Address
First Line : 17858 BERG RD
Second Line :
City : DETROIT
State : MI
Zip : 48219-2232
Country : US
Telephone Number : 313-655-8951
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/20/2010
Last Update Date : 05/20/2010

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Directions to “ CAMILLE MINETTA HOPE RPH” Practice Location

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