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1477190270
SCOTT POLIVKA
LANSING, MI
NPI
1477190270
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
(Licence: MI 5302036186)
Enumeration Date
2019-11-30
Last Update Date
2019-11-30
Business Address
SCOTT POLIVKA
921 W HOLMES RD
LANSING, MI 48910-0439
Phone number: 517-393-7009
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Mailing Address
SCOTT POLIVKA
900 LONG BLVD APT 214
LANSING, MI 48911-6705
Phone number: 517-275-2871
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