Individual
CAROLYNE HANES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2855 S COUNTY ROAD 489, LEWISTON, MI 49756-8155
(989) 786-2239
Mailing address
2855 S COUNTY ROAD 489, LEWISTON, MI 49756-8155
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302045229
MI
Other
Enumeration date
12/24/2016
Last updated
12/24/2016
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