Most Relevant Information
Provider Data
| NPI Number: | 1003494667 |
| Provider Name: | DREW SHEPARD CPHT |
| Entity Type: | Individual |
| Taxonomy Code: | 183700000X |
| Specialty: | Pharmacy Technician |
| License Number: | 5303011978 |
Most Important Dates
| Enumeration Date: | 04/01/2021 |
| Last Updated: | 04/01/2021 |
Provider Practice Location
409 N MARKETPLACE BLVD
LANSING
MI
489177732
Practice Location Phone/Fax
| Phone: | 5176221451 |
| Fax: |
Provider Mailing Location
1248 S MAIN ST
OVID
MI
488669723
Provider Mailing Phone/Fax
| Phone: | 9894136694 |
| Fax: |