Debra Shine
Pharmacy Technician in Bangor, MI. Individual provider (NPI-1).
NPI number1174535652
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1174535652
- Entity type
- Individual (NPI-1)
- Name
- Debra Shine
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 12, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183700000X | Pharmacy Technician | – | – | Yes |
Practice location
211 W Monroe StBangor, MI 49013-1330
Phone 269-427-7706
Mailing address
61690 M 43Bangor, MI 49013-9621
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