Individual
LUCY TYRER CHARGOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS PHARM
Contact information
Practice address
7083 W 48TH ST, FREMONT, MI 49412-9508
(231) 924-6900
Mailing address
7083 W 48TH ST, FREMONT, MI 49412-9508
(231) 924-6900
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302024488
MI
Other
Enumeration date
07/20/2016
Last updated
07/20/2016
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