Individual
JENNIFER L PEMBERTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
11830 N SAGINAW ST, MOUNT MORRIS, MI 48458-1594
(810) 686-2900
Mailing address
8336 JACLYN ANN DR, FLUSHING, MI 48433-2908
(810) 487-0636
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302029266
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5302029266
PHARMACIST LICENSE NUMBER
MI
Enumeration date
01/08/2007
Last updated
07/08/2007
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