IndividualActive
Anila Mathew
NPI 1740039783 · Pharmacist · Shelby Township, MI
Provider details
- NPI number
- 1740039783
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 5302034474 (MI)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
49310 Van Dyke Ave Ste 100
Shelby Township, MI 48317-1337
Phone: (586) 884-7710
Approximate (ZIP-level) locationGet directions
Mailing address
1704 Blushing Ct
Rochester Hills, MI 48307-3584
Registry dates
- Enumerated
- 2024-05-13
- Last updated
- 2024-05-13
- Certified
- 2024-05-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.