Individual
KYESHA ARIANE LIPSCOMB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM. D.
Contact information
Practice address
1710 W JOHN BEERS RD, STEVENSVILLE, MI 49127-9409
(269) 429-1153
Mailing address
1260 HILLTOP RD, SAINT JOSEPH, MI 49085-2839
(269) 983-0315
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302044854
MI
Other
Enumeration date
10/20/2016
Last updated
06/17/2020
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