SCOTT POLIVKA

LANSING, MI
NPI1477190270
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1835P0018X Pharmacist Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
(Licence: MI  5302036186)
Enumeration Date2019-11-30
Last Update Date2019-11-30
Business Address
SCOTT POLIVKA
921 W HOLMES RD
LANSING, MI 48910-0439
Phone number: 517-393-7009
Mailing Address
SCOTT POLIVKA
900 LONG BLVD APT 214
LANSING, MI 48911-6705
Phone number: 517-275-2871
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