Individual
LEONARD ALEX GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
325 EAST H STREET, IRON MOUNTAIN, MI 49801
(906) 774-3300
Mailing address
W6769 HIGHWAY M-69, FELCH, MI 49831
(906) 542-7250
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302029657
MI
Other
Enumeration date
09/06/2006
Last updated
07/08/2007
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