Individual
KIMBERLY SCHMALTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7920 SHAVER RD, PORTAGE, MI 49024-5121
(269) 324-9988
Mailing address
4600 LONG LAKE DR, PORTAGE, MI 49002-7495
(269) 324-2284
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302029506
MI
Other
Enumeration date
12/08/2011
Last updated
12/08/2011
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