Individual
ERICA ANN STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
621 E LAKE ST, TAWAS CITY, MI 48763-9213
(989) 984-0924
Mailing address
621 E LAKE ST, TAWAS CITY, MI 48763-9213
(989) 984-0924
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
5303022177
MI
Other
Enumeration date
03/25/2021
Last updated
03/25/2021
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