Individual
BLAKE THOMAS SHIFLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
571 S MAIN ST, LAPEER, MI 48446-2466
(810) 538-0014
Mailing address
571 S MAIN ST, LAPEER, MI 48446-2466
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302411902
MI
Other
Enumeration date
08/12/2020
Last updated
08/12/2020
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