Pengili, Mario

Pengili, Mario is an sole proprietor health care provider with primary practice located at 2115 25 Mile Rd , Shelby Twp MI 48316-1097. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Pengili, Mario can be contacted via phone (248) 652-2227.

Contact Information

Primary practice address
2115 25 Mile Rd Shelby Twp MI 48316-1097
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 5351016301 Michigan

Profile Details

NPI number 1962161687
LBN Legal business name Pengili, Mario
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 9th, 2021
Last updated Dec 9th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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