Individual
MR. JASON D BACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
G4010 FENTON RD, FLINT, MI 48507-3681
(810) 424-0224
(810) 424-0618
Mailing address
G4010 FENTON RD, FLINT, MI 48507-3681
(810) 424-0224
(810) 424-0618
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302032789
MI
Other
Enumeration date
09/12/2011
Last updated
09/12/2011
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