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Individual

JAMES CRAIG FORRESTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1131 E STATE ST, CHEBOYGAN, MI 49721-2124
(231) 627-7139
(231) 627-5358
Mailing address
1131 E STATE ST, CHEBOYGAN, MI 49721-2124
(231) 627-7139
(231) 627-5358

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302025684
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1927170
MI
01
2343870
NCPDP PROVIDER IDENTIFICATION NUMBER
MI
Enumeration date
02/25/2010
Last updated
02/25/2010
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