Individual
JENNIFER IWICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
720 GENERAL MOTORS RD, MILFORD, MI 48381-2220
(248) 684-1775
Mailing address
8630 JAMESTOWN DR, WHITE LAKE, MI 48386-3577
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302029089
MI
Other
Enumeration date
01/28/2020
Last updated
01/28/2020
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