Healthcare Provider Details

I. General information

NPI: 1609878511
Provider Name (Legal Business Name): CHRISTOPHER MICHAEL FINAZZO RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 08/10/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33510 SCHOOLCRAFT RD
LIVONIA MI
48150-1504
US

IV. Provider business mailing address

8656 CLARRIDGE RD
CLARKSTON MI
48348-2518
US

V. Phone/Fax

Practice location:
  • Phone: 800-462-8757
  • Fax:
Mailing address:
  • Phone: 248-625-8765
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number5302026461
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: