Individual
MS. JUDY ANN LATTING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
2591 E M 21, CORUNNA, MI 48817-1102
(989) 743-2533
(989) 743-2523
Mailing address
2591 E M 21, CORUNNA, MI 48817-1102
(989) 743-2533
(989) 743-2523
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302024258
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
314064
NABP
MI
01
—
5302024258
PHARMACIST LICENSE
MI
Enumeration date
05/15/2014
Last updated
05/15/2014
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