Registry details
Type
Individual
Primary specialty
Pharmacist
Enumerated
Jan 16, 2018
License(s)
5302046142 (MI)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 3165 E MICHIGAN AVE APT 123 | Lansing, MI 48912-4633 | 267-319-3066 |
| LOCATION | 3700 W SAGINAW ST | Lansing, MI 48917-2290 | 517-321-7746 |
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