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Individual

MR. CARL ALEXANDER MCCREADY SR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
127 N MAIN ST, CHEBOYGAN, MI 49721-1637
(231) 627-9949
Mailing address
15043 BEAUMONT DR, CHEBOYGAN, MI 49721-9328
(231) 627-6465

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302023746
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5302023746
PHARMACIST LICENSE NUMBER
MI
Enumeration date
08/24/2009
Last updated
08/24/2009
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