Shane Bentley, Pharmacy Technician
Pharmacy Technician in Houghton Lake, MI. Individual provider (NPI-1).
NPI number1215601331
StatusActive
Last updated in NPPESAug 3, 2021
Details
- NPI
- 1215601331
- Entity type
- Individual (NPI-1)
- Name
- Shane Bentley
- Credential
- Pharmacy Technician
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 3, 2021
- Certification date
- Jun 9, 2021
- Last updated
- Aug 3, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183700000X | Pharmacy Technician | 5303022152 | MI | Yes |
Practice location
4562 W Houghton Lake DrHoughton Lake, MI 48629-9005
Phone 989-366-9212 · Fax 989-366-4776
Mailing address
4562 W Houghton Lake DrHoughton Lake, MI 48629-9005
Phone 989-366-9212 · Fax 989-366-4776
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