Provider Demographics
NPI:1972913457
Name:PATRICK, KALI (RPH)
Entity Type:Individual
Prefix:
First Name:KALI
Middle Name:
Last Name:PATRICK
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
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Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:7157 E SAGINAW ST
Mailing Address - Street 2:
Mailing Address - City:EAST LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48823-9627
Mailing Address - Country:US
Mailing Address - Phone:517-885-9010
Mailing Address - Fax:517-885-9065
Practice Address - Street 1:7157 E SAGINAW ST
Practice Address - Street 2:
Practice Address - City:EAST LANSING
Practice Address - State:MI
Practice Address - Zip Code:48823
Practice Address - Country:US
Practice Address - Phone:517-885-9010
Practice Address - Fax:517-885-9065
Is Sole Proprietor?:No
Enumeration Date:2014-05-06
Last Update Date:2018-05-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI53020371431835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy