Individual
MARISA REEVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
32905 FORT RD, ROCKWOOD, MI 48173-1112
(734) 379-9633
Mailing address
4750 E 450 S STE A, WHITESTOWN, IN 46075-8404
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26027796A
IN
183500000X
Pharmacist
5302041906
MI
Other
Enumeration date
08/18/2016
Last updated
11/26/2024
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