Lydia Marie Henning, PHARM D

NPI #1073946190 in East Grand Rapids, Michigan

Provider Information

NPI Number: 1073946190
Entity Type: Individual
Name: Lydia Marie Henning, PHARM D
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: PHARM D
Enumeration Date: Aug 13, 2013
Last Updated: Aug 13, 2013

Practice Location

Address: 2519 LAKE DR SE
City: East Grand Rapids
State: Michigan
ZIP Code: 49506-3120
Phone: (616) 206-6892

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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