Individual
MR. JOSHUA AARON SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM D
Contact information
Practice address
4562 W HOUGHTON LAKE DR, HOUGHTON LAKE, MI 48629-9005
(517) 915-8240
Mailing address
3622 S GLADWIN RD, PRUDENVILLE, MI 48651-9234
(517) 915-8240
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302040596
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5302040596
PHARMACIST LICENSE
—
Enumeration date
12/16/2015
Last updated
12/16/2015
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