Individual
MRS. KACI ODA CHAMBERLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
508 S CLINTON ST, GRAND LEDGE, MI 48837
(517) 627-1670
(517) 627-0068
Mailing address
1166 RUSSELL LEA DR, CHARLOTTE, MI 48813-8785
(517) 541-0305
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302032417
MI
Other
Enumeration date
10/25/2006
Last updated
07/08/2007
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