Individual
DR. KIMBERLY ANN PROFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD, RPH
Contact information
Practice address
15555 DEMILL RD, LAPEER, MI 48446
(810) 667-8133
Mailing address
3279 W BARNES LAKE RD, COLUMBIAVILLE, MI 48421-9364
(810) 793-6803
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302034187
MI
Other
Enumeration date
08/10/2007
Last updated
08/10/2007
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