Individual
LINDA LEE IDE-WAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
3901 ALPINE AVE NW, COMSTOCK PARK, MI 49321-8350
(616) 647-9302
(616) 647-9820
Mailing address
3901 ALPINE AVE NW, COMSTOCK PARK, MI 49321-8350
(616) 647-9302
(616) 647-9820
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302022230
MI
Other
Enumeration date
09/29/2016
Last updated
09/29/2016
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