Individual
LAURA JEAN MCGONIGAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
304 S JEFFERSON ST, MASON, MI 48854-1652
(517) 676-9199
Mailing address
304 S JEFFERSON ST, MASON, MI 48854-1652
(517) 676-9199
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302029330
MI
Other
Enumeration date
10/08/2021
Last updated
10/08/2021
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