Alicia Trail RPH

NPI 1790195451 - Pharmacist - 1835P1200X

NPI Details
NPI 1790195451
Gender Female
Enumeration Date 05/04/2014
Last Updated 05/04/2014
Entity Type Individual
Active Over 2 years ago
Practice Location
2160 HARTLAND RD
HARTLAND MI, 48353-2502, US
Phone (810) 632-4210
Fax (810) 632-4265
Business Location
2160 HARTLAND RD
HARTLAND MI, 48353-2502, US
Phone (810) 632-4210
Fax (810) 632-4265
Toxanomy
Taxonomy Code 1835P1200X
License State Michigan
License Number 5302411106
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According to our database, Mrs. Alicia Trail RPH NPI is 1790195451, taxonomy code is 1835P1200X and license number is 5302411106, license state is located at Michigan. Alicia Trail RPH physically located at 2160 Hartland Rd, Hartland MI, 48353-2502. NPI Number Alicia Trail RPH has the Individual type.

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1790195451 NPI number is provided on an as is basis without warranty of any kind. 1790195451 is maintained by the National Plan & Provider Enumeration System. The contents of Alicia Trail RPH are for informational purposes only.