Individual
DALTON THOMAS RAYMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMACY IMMUNIZER
Contact information
Practice address
3939 S LAPEER RD, METAMORA, MI 48455-8950
(810) 678-2331
(810) 678-8781
Mailing address
5483 DONNA LN, DRYDEN, MI 48428-9246
(810) 441-4767
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
5303040850
MI
Other
Enumeration date
01/10/2022
Last updated
01/10/2022
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