Individual
LISA HACKBARTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5300 HARVEY ST, MUSKEGON, MI 49444-6716
(231) 799-6910
Mailing address
5300 HARVEY ST, MUSKEGON, MI 49444-6716
(231) 799-6910
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302030959
MI
Other
Enumeration date
11/06/2013
Last updated
11/06/2013
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