Individual
MR. ALBERT LAVALLEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
25996 GRATIOT AVE, ROSEVILLE, MI 48066
(586) 774-1070
Mailing address
25996 GRATIOT AVE, ROSEVILLE, MI 48066
(586) 774-1070
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302029599
MI
Other
Enumeration date
10/22/2014
Last updated
10/22/2014
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