Healthcare Provider Details

I. General information

NPI: 1922178250
Provider Name (Legal Business Name): JANET L LEHIGH BSC PHARM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/08/2006
Last Update Date: 03/31/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2864 ASHMUN ST
SAULT S MARIE MI
49783-3740
US

IV. Provider business mailing address

2864 ASHMUN ST
SAULT S MARIE MI
49783-3740
US

V. Phone/Fax

Practice location:
  • Phone: 906-632-5236
  • Fax: 906-632-5296
Mailing address:
  • Phone: 906-632-5236
  • Fax: 906-632-5296

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number5302031436
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: