Individual
MISS KIMBERLY ANN MAXAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
139 N GRAND ST, SCHOOLCRAFT, MI 49087-5111
(269) 679-2008
(269) 679-2722
Mailing address
139 N. GRAND ST., PO BOX 399, SCHOOLCRAFT, MI 49087-0399
(269) 679-2008
(269) 679-2722
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302032533
MI
Other
Enumeration date
09/08/2011
Last updated
09/08/2011
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