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Individual

CATHY LAWSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RPH

Contact information

Practice address
4300 24TH AVE, T-0632, FORT GRATIOT, MI 48059-3806
(810) 385-5930
(810) 385-5930
Mailing address
4300 24TH AVE, T-0632, FORT GRATIOT, MI 48059-3806
(810) 385-5930
(810) 385-5930

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302028927
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
183500000X PHARMACIS
#18 PHARMACY SERVICE PROVIDERS
MI
Enumeration date
06/05/2011
Last updated
06/05/2011
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