Individual
KIM MARIE WETHERHOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
6700 N ROCHESTER RD, ROCHESTER HILLS, MI 48306-4362
(248) 601-1178
Mailing address
1415 PADDLE WHEEL LN, ROCHESTER HILLS, MI 48306-4241
(568) 786-9768
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302026240
MI
Other
Enumeration date
08/25/2018
Last updated
08/25/2018
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