Individual
JACQUELYN WOIDERSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
127 N MAIN ST, CHEBOYGAN, MI 49721-1637
(231) 627-9949
Mailing address
127 N MAIN ST, CHEBOYGAN, MI 49721-1637
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
18009-40
WI
183500000X
Pharmacist
Primary
5302040635
MI
Other
Enumeration date
01/18/2017
Last updated
01/18/2017
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