Registry details
Type
Individual
Primary specialty
Pharmacist
Enumerated
Mar 30, 2023
License(s)
5302415049 (MI)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 1550 W LAKE LANSING RD | East Lansing, MI 48823-1386 | |
| LOCATION | 1550 W LAKE LANSING RD | East Lansing, MI 48823-1386 | 517-351-9361 |
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