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Individual

MR. GREGORY S BOVEE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPH.

Contact information

Practice address
4250 W CUTLER RD, HEALTHY LIFESTYLES, LLC., DEWITT, MI 48820-8080
(517) 420-4343
(517) 669-8166
Mailing address
4250 W CUTLER RD, HEALTHY LIFESTYLES, LLC., DEWITT, MI 48820-8080
(517) 420-4343
(517) 669-8166

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302022898
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5302022898
PHARMACIST AND CONTROLLED SUBSTANCE LICENSE
MI
Enumeration date
11/15/2008
Last updated
11/15/2008
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