Individual
ANGELA LACKIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
170 N CASEVILLE RD, PIGEON, MI 48755-9781
(989) 453-5207
Mailing address
4970 RAILROAD ST, P.O. BOX 97, ELKTON, MI 48731-5155
(989) 375-2121
(989) 375-2124
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302038902
MI
Other
Enumeration date
10/04/2013
Last updated
02/08/2021
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