Branch, Shasta A

Branch, Shasta A is an individual health care provider with primary practice located at 3152 River Meadow Cir , Canton MI 48188-2334. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Branch, Shasta A can be contacted via phone (734) 495-3092.

Contact Information

Primary practice address
3152 River Meadow Cir Canton MI 48188-2334
Phone: (734) 495-3092
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 5302027947 Michigan

Profile Details

NPI number 1508079450
LBN Legal business name Branch, Shasta A
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers