Basic Information
| Provider Information | |||||||||
| NPI: | 1467547927 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ALLIS | ||||||||
| FirstName: | ROOPALEE | ||||||||
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| Mailing Information | |||||||||
| Address1: | 10626 STONEY FIELD COURT | ||||||||
| Address2: | |||||||||
| City: | PINCKNEY | ||||||||
| State: | MI | ||||||||
| PostalCode: | 48169 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7348785871 | ||||||||
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| Practice Location | |||||||||
| Address1: | 2215 FULLER COURT (30) | ||||||||
| Address2: | |||||||||
| City: | ANN ARBOR | ||||||||
| State: | MI | ||||||||
| PostalCode: | 48105 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7347697100 | ||||||||
| FaxNumber: | 7342136993 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/03/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 183500000X | 26016992A | IN | N | Pharmacy Service Providers | Pharmacist | 183500000X | 5302029809 | MI | Y | Pharmacy Service Providers | Pharmacist |
No ID Information.