Individual
MRS. ELAINE ANN OESTRIKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
121 W PRAIRIE ST, VICKSBURG, MI 49097-1258
(269) 649-0660
Mailing address
121 W PRAIRIE ST, VICKSBURG, MI 49097-1258
(269) 649-0660
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302034154
MI
Other
Enumeration date
07/09/2006
Last updated
03/17/2015
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