Individual
MRS. BETHANY KOZIELSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1454 W CENTER RD, SUITE 2, ESSEXVILLE, MI 48732-2112
(989) 895-4580
(989) 895-4581
Mailing address
1036 HAMPSTEAD RD, ESSEXVILLE, MI 48732-1908
(989) 895-8947
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302029866
MI
Other
Enumeration date
08/30/2006
Last updated
07/08/2007
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