Individual provider · Type 1 NPI

Laurie Fanfalone-Gladysz, RPH, MA

Pharmacist · Warren, MI

NPI number 1831391069 Active

Practice location

11800 E 12 Mile Rd
Warren, MI 48093-3472

Mailing address

14928 Stoney Brook Dr
Shelby Township, MI 48315-5567

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X5302024349 (MI)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1831391069

Laurie Fanfalone-Gladysz, RPH, MA's National Provider Identifier is 1831391069, issued on Jun 1, 2007. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Warren, MI. The record was last updated on Jul 8, 2007.