Individual
KRISTEN KAY HACKERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
936 E LUDINGTON AVE, LUDINGTON, MI 49431-2438
(231) 845-7332
Mailing address
936 E LUDINGTON AVE, LUDINGTON, MI 49431-2438
(231) 845-7332
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
530303733
PHARMACY TECHNICIAN LICENSE
MI
Enumeration date
07/20/2021
Last updated
07/20/2021
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