Individual
CARLY PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3999 ALPINE AVE NW, COMSTOCK PARK, MI 49321-8350
(616) 784-1619
Mailing address
7685 KAREN LN NE, ROCKFORD, MI 49341-9421
(616) 893-4854
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302038788
MI
Other
Enumeration date
10/31/2020
Last updated
10/31/2020
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