Individual
MRS. HOLLY RENE MACEWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
5020 W MAIN ST, KALAMAZOO, MI 49009-1002
(269) 345-8507
Mailing address
5020 W MAIN ST, KALAMAZOO, MI 49009-1002
(269) 345-8507
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302032239
MI
Other
Enumeration date
12/13/2011
Last updated
12/13/2011
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