Individual
LEAH DOUBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5350 W MAIN ST, KALAMAZOO, MI 49009-3304
(269) 349-6290
Mailing address
5350 W MAIN ST, KALAMAZOO, MI 49009-3304
(269) 349-6290
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302041385
MI
Other
Enumeration date
07/27/2016
Last updated
07/27/2016
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