Individual provider · Type 1 NPI
Lisa Marie Debolt, RPH
Pharmacist · Traverse City, MI
Practice location
324 S. Union St
Traverse City, MI 49684
Fax (231) 947-0301
Mailing address
1275 Valley Dr
Traverse City, MI 49684-8289
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist Primary | 183500000X | 5302027748 (MI) |
Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…
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About NPI 1598826547
Lisa Marie Debolt, RPH's National Provider Identifier is 1598826547, issued on Dec 13, 2006. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Traverse City, MI. The record was last updated on Jul 8, 2007.