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Shawn Lee Grucella, CPHT
Pharmacy Technician in Kalkaska, Michigan
NPI 1144994088

Shawn Lee Grucella is a Pharmacy Technician based in Fife Lake, MI. Shawn Lee Grucella practices in Kalkaska, MI and has the professional credentials of CPHT. The NPI Number for Shawn Lee Grucella is 1144994088 and holds a License No. 5303028132 (Michigan).

The current practice location address for Shawn Lee Grucella is 902 N Cedar St, Kalkaska, MI and can be reached out via phone at 231-258-2081 and via fax at 231-258-5883.

Location: 902 N Cedar St, Kalkaska, MI, 49633-9055
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1144994088
Provider Name
Shawn Lee Grucella
Credential
CPHT
Provider Entity Type
Individual
Gender
Female
Address
902 N Cedar St, Kalkaska, MI, 49633-9055
Phone Number
231-258-2081
Fax Number
231-258-5883
Provider Enumeration Date
08/04/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5303028132 01 MI STATE CERTIFICATION NUMBER
institution
Provider Business Practice Location Address Details
Address
902 N Cedar St
City
Kalkaska
State
Michigan
Zip
49646-8061
Phone Number
231-258-2081
Fax Number
231-258-5883
person
Provider Business Mailing Address Details
Address
902 N Cedar St
City
Kalkaska
State
Michigan
Zip
49646-8061
Phone Number
231-258-2081
Fax Number
231-258-5883
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacy Technician
Speciality
-
Taxonomy
183700000X
License No.
5303028132 (Michigan)
Definition
A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist.
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