Individual
KATIE BLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
501 E HOUGHTON AVE, WEST BRANCH, MI 48661-1131
(989) 345-0080
Mailing address
501 E HOUGHTON AVE, WEST BRANCH, MI 48661-1131
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302041956
MI
Other
Enumeration date
06/10/2014
Last updated
06/10/2014
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