Individual
STACY KOHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8317 CARIBOU TRL, CLARKSTON, MI 48348-4518
(586) 321-5182
Mailing address
8317 CARIBOU TRL, CLARKSTON, MI 48348-4518
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
5303039394
MI
Other
Enumeration date
02/08/2022
Last updated
02/08/2022
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