Individual
ASHLEY NICHOLE KOCHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 N LEROY ST, FENTON, MI 48430-5308
(810) 750-1923
(810) 714-4128
Mailing address
1001 N LEROY ST, FENTON, MI 48430-5308
(810) 750-1923
(810) 714-4128
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
5303012917
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5303012917
PHARMACY TECHNICIAN LICENSE
MI
Enumeration date
05/03/2017
Last updated
05/03/2017
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