Individual
MRS. LISA J RACKOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
3456 W SHORE DR, HOLLAND, MI 49424-9699
(616) 820-0094
(616) 820-0094
Mailing address
3456 W SHORE DR, HOLLAND, MI 49424-9699
(616) 820-0094
(616) 820-0094
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302027146
MI
Other
Enumeration date
07/04/2011
Last updated
07/04/2011
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