JONATHAN VICTOR VAN LARE

SOUTHFIELD, MI
NPI1952520462
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: MI  5302035070)
Enumeration Date2007-04-24
Last Update Date2007-07-08
Business Address
Mr. JONATHAN VICTOR VAN LARE Pharm. D.
22777 W 11 MILE RD
SOUTHFIELD, MI 48034-2152
Phone number: 248-358-9160
Mailing Address
Mr. JONATHAN VICTOR VAN LARE Pharm. D.
1393 MOY AVENUE
WINDSOR, ONTARIO N8X 4S5
Phone number: 519-253-0605
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