Individual
CARISSA JEAN CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD, MBA
Contact information
Practice address
494 BUTTERNUT DR, HOLLAND, MI 49424-1556
(616) 786-2235
Mailing address
2543 WOODLAKE RD SW APT 6, WYOMING, MI 49519-4716
(708) 769-5007
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302413821
MI
Other
Enumeration date
10/11/2021
Last updated
10/11/2021
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