Individual
LISA RETBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
3248 ALPINE AVE NW, WALKER, MI 49544-1655
(616) 456-1212
Mailing address
4275 SPRINGSIDE DR, HUDSONVILLE, MI 49426-7591
(616) 633-7279
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302034267
MI
Other
Enumeration date
03/20/2014
Last updated
03/20/2014
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