Linda Lee Ide-Way, R.PH.

NPI #1063961167 in Comstock Park, Michigan

Provider Information

NPI Number
1063961167
Entity Type
Individual
Name
Linda Lee Ide-Way, R.PH.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Pharmacist
Credential
R.PH.
Enumeration Date
Sep 29, 2016
Last Updated
Sep 29, 2016

Practice Location

Address
3901 ALPINE AVE NW
ZIP Code
49321-8350
Phone
(616) 647-9302

Specialties & Taxonomy Codes

Specialty
Pharmacist

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