Individual
LAURIE ANN STANDIFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
8822 PORTAGE RD, PORTAGE, MI 49002-6416
(269) 327-3049
(269) 327-5817
Mailing address
10031 WOODLAWN DR, PORTAGE, MI 49002-7222
(269) 329-0733
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302025619
MI
Other
Enumeration date
01/08/2009
Last updated
01/08/2009
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