Individual
MISS LISA ANN PEABODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
22515 GREATER MACK AVE, SAINT CLAIR SHORES, MI 48080-2040
(586) 447-4368
(586) 447-4374
Mailing address
22515 GREATER MACK AVE, SAINT CLAIR SHORES, MI 48080-2040
(586) 447-4368
(586) 447-4374
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302029960
MI
Other
Enumeration date
10/07/2011
Last updated
02/14/2020
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