Individual provider · NPI-1

Tara Corinne Dunham, Pharmacy Technician

Pharmacy Technician · Lansing, MI

NPI number1619552676
StatusActive
Last updated in NPPESMar 11, 2021

Details

NPI
1619552676
Entity type
Individual (NPI-1)
Name
Tara Corinne Dunham
Credential
Pharmacy Technician
Sex
Female
Sole proprietor
Yes
Enumeration date
Mar 11, 2021
Certification date
Mar 11, 2021
Last updated
Mar 11, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183700000X Pharmacy Technician5303004825MIYes

Practice location

3225 Towne Centre Blvd
Lansing, MI 48912-5620

Phone 517-487-9161 · Fax 517-487-9163

Mailing address

15230 Red Tail Dr Apt D8
Bath, MI 48808-9814

Phone 517-763-5362 · Fax 517-487-9163

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