Individual
JEFFREY L LIVINGSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1905 N CANTON CENTER RD, CANTON, MI 48187-2954
(734) 844-2677
Mailing address
1905 N CANTON CENTER RD, CANTON, MI 48187-2954
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302028775
MI
Other
Enumeration date
11/21/2019
Last updated
11/21/2019
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