Jack, Richard L

Jack, Richard L is an sole proprietor health care provider with primary practice located at 903 N Mission St , Mt Pleasant MI 48858-1001. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Jack, Richard L can be contacted via phone (989) 772-0291.

Contact Information

Primary practice address
903 N Mission St Mt Pleasant MI 48858-1001
Phone: (989) 772-0291
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 5302020357 Michigan

Profile Details

NPI number 1306120399
LBN Legal business name Jack, Richard L
Credentials RPH
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 7th, 2011
Last updated Oct 7th, 2011 - about 13 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.

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