DR. KEVIN FANTICH
Pharmacy at Northwestern Hwy, Southfield, MI

License number
Michigan PS48603
Category
Pharmacy
Type
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License number
Michigan 5302035536
Category
Pharmacy
Type
Pharmacist
Address
Address
26711 Northwestern Hwy SUITE 400, Southfield, MI 48033
Phone
(248) 948-9900
National Provider ID: 1316113921
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Personal information

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Name
Address
Phone
Kevin Fantich, age 42
5389 Centerbrook Dr, W Bloomfield, MI 48322
(248) 705-1014
Kevin H Fantich
6572 Spruce Dr, Bloomfield Hills, MI 48301

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