Individual
MS. GRACE MUTESI MPAMIRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D
Contact information
Practice address
205 N EAST AVE, SUITE 107 - ONE JACKSON SQUARE, JACKSON, MI 49201-1753
(517) 788-4800
(517) 841-1725
Mailing address
205 N EAST AVE, SUITE 107 - ONE JACKSON SQUARE, JACKSON, MI 49201-1753
(517) 788-4800
(517) 841-1725
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302034616
MI
Other
Enumeration date
01/30/2008
Last updated
01/30/2008
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