Individual
AMETHYST LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
141 1ST ST, COLDWATER, MI 49036-8600
(517) 278-6942
(517) 279-1402
Mailing address
409 DRAKE ST, JONESVILLE, MI 49250-9428
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
5303034228
MI
Other
Enumeration date
06/04/2025
Last updated
06/04/2025
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