Individual
LYNNEISE KARADSHEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
201 73RD ST, SOUTH HAVEN, MI 49090-7907
(269) 639-2260
Mailing address
201 73RD ST, SOUTH HAVEN, MI 49090-7907
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5351016324
MI
Other
Enumeration date
01/11/2023
Last updated
01/11/2023
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