Rackow, Lisa J

Rackow, Lisa J is an individual health care provider with primary practice located at 3456 W Shore Dr , Holland MI 49424-9699. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Rackow, Lisa J can be contacted via phone (616) 820-0094.

Contact Information

Primary practice address
3456 W Shore Dr Holland MI 49424-9699
Phone: (616) 820-0094
Fax: (616) 820-0094
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 5302027146 Michigan

Profile Details

NPI number 1508153131
LBN Legal business name Rackow, Lisa J
Credentials RPH
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 4th, 2011
Last updated Jul 4th, 2011 - about 15 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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