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-- DEBORAH SUE DISTEFANO -- CPhT

Individual Provider (NPI-1) Active

Pharmacy Technician

Provider Information

NPI Number
1639264062
Provider Type
Individual Provider (NPI-1)
Credentials
CPhT
Status
Active

Contact & Location

Address
512 PHOENIX STREET, SOUTH HAVEN, MI, 49090
Phone
(269) 637-1161

Specialties & Taxonomies

Pharmacy Technician Primary License: MI #2215-0902-2083-111

All Addresses

MAILING

56667 ORCHARD LANE

BANGOR, MI, 49013

(269) 427-5279

LOCATION

512 PHOENIX STREET

SOUTH HAVEN, MI, 49090

(269) 637-1161