Individual
LAURA HISCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
606 S GREENVILLE WEST DR, GREENVILLE, MI 48838-3513
(616) 754-2433
(616) 225-7765
Mailing address
606 S GREENVILLE WEST DR, GREENVILLE, MI 48838-3513
(616) 754-2433
(616) 225-7765
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
5302032487
MI
Other
Enumeration date
05/07/2014
Last updated
05/07/2014
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