Individual
KELLY ANN SOEKARMOEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
110 S MAIN ST, VICKSBURG, MI 49097-1211
(269) 649-1476
(269) 949-4898
Mailing address
110 S MAIN ST, VICKSBURG, MI 49097-1211
(269) 649-1476
(269) 949-4898
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302026437
MI
Other
Enumeration date
05/19/2009
Last updated
05/19/2009
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