Individual
MS. LISA M VICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM D.
Contact information
Practice address
730 N MACOMB ST, MONROE, MI 48162-2900
(734) 240-4100
Mailing address
1981 GRIMES GOLDEN DR, TOLEDO, OH 43611-1703
(419) 729-0651
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
03326712
OH
183500000X
Pharmacist
Primary
5302036318
MI
Other
Enumeration date
10/17/2006
Last updated
07/08/2007
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