Individual
MS. ANN PATRICE KLUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMACIST
Contact information
Practice address
1525 W LAKE LANSING RD, EAST LANSING, MI 48823-1387
(517) 336-5603
(517) 336-5638
Mailing address
2866 TURTLECREEK DR, EAST LANSING, MI 48823-6333
(517) 337-8336
(517) 336-5638
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302024174
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5302024174
MI LICENSE NUMBER
MI
Enumeration date
10/02/2006
Last updated
07/08/2007
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