Individual
LIESEL SCOUT SCHLORKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
836 THOMAS ST SE, GRAND RAPIDS, MI 49506-2645
(906) 361-8661
Mailing address
836 THOMAS ST SE, GRAND RAPIDS, MI 49506-2645
(906) 361-8661
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302415653
MI
Other
Enumeration date
10/03/2023
Last updated
10/05/2023
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