Individual
MRS. LORI JEAN VANEVERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
29255 W JEFFERSON AVE, GIBRALTAR, MI 48173-9738
(734) 675-0000
Mailing address
1777 N TRENTON DR, TRENTON, MI 48183-1850
(734) 675-4652
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302028755
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5302028755
PHARMACIST LICENSE NUMBER
MI
Enumeration date
10/13/2006
Last updated
07/08/2007
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