Individual
MRS. LILY A CICCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1615 N. SAGINAW RD, MIDLAND, MI 48640
(989) 832-2491
(989) 832-2671
Mailing address
1615 N. SAGINAW RD, MIDLAND, MI 48640
(989) 832-2491
(989) 832-2671
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302038113
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1992710297
—
MI
Enumeration date
09/27/2011
Last updated
09/27/2011
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