Individual
ALYSHA MARIE VARDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1951 OAK ST, NILES, MI 49120-3738
(269) 665-8900
(269) 262-0077
Mailing address
1951 OAK ST, NILES, MI 49120-3738
(269) 665-8900
(269) 262-0077
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26027892A
IN
183500000X
Pharmacist
5302048582
MI
183500000X
Pharmacist
5315206067
MI
Other
Enumeration date
06/15/2020
Last updated
04/06/2026
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