Provider First Line Business Practice Location Address:
1215 E. MICHIGAN AVE.
Provider Second Line Business Practice Location Address:
SPARROW HOSPITAL, PHARMACY DEPARTMENT
Provider Business Practice Location Address City Name:
LANSING
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48912
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
517-364-3579
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/31/2006