Individual
DR. ALYSSA MARIE CAVANAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1125 S MAIN ST, CHELSEA, MI 48118-1426
(734) 475-1188
(734) 475-1188
Mailing address
16738 WINTERS RD, GRASS LAKE, MI 49240-9143
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302041023
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20170714714048
—
MI
Enumeration date
08/24/2017
Last updated
08/24/2017
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