Individual
LAURA CASANOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1721 S STEPHENSON AVE STE A, IRON MOUNTAIN, MI 49801-3637
(906) 776-5419
(906) 776-5911
Mailing address
1721 S STEPHENSON AVE STE A, IRON MOUNTAIN, MI 49801-3637
(906) 776-5419
(906) 776-5911
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302027964
MI
Other
Enumeration date
05/11/2020
Last updated
05/11/2020
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