Individual
ELIZA LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5645 JACKSON RD, ANN ARBOR, MI 48103-9504
(734) 222-0310
Mailing address
5645 JACKSON RD, ANN ARBOR, MI 48103-9504
(734) 222-0310
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302040819
MI
Other
Enumeration date
02/29/2016
Last updated
02/29/2016
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