West Michigan Pharmacy LLC
NPI #1104214014 in Big Rapids, Michigan
Provider Information
- NPI Number
- 1104214014
- Entity Type
- Organization
- Organization Name
- West Michigan Pharmacy LLC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Dec 30, 2014
- Last Updated
- Mar 29, 2017
Practice Location
- Address
- 20095 GILBERT RD
- City
- Big Rapids
- State
- Michigan
- ZIP Code
- 49307-2365
- Phone
- (231) 305-4095
Authorized Official
- Name
- ASHLEY GOOTE, PHARMD
- Title
- PHCY MGR,PIC,AO
- Phone
- (231) 305-4095
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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