Kentwood Pharmacy
NPI #1558478610 in Grand Rapids, Michigan
Provider Information
- NPI Number
- 1558478610
- Entity Type
- Organization
- Organization Name
- Kentwood Pharmacy
- Primary Specialty
- Pharmacist
- Enumeration Date
- Aug 24, 2006
- Last Updated
- Feb 27, 2008
Practice Location
- Address
- 6680 KALAMAZOO AVE SE
- City
- Grand Rapids
- State
- Michigan
- ZIP Code
- 49508-7030
- Phone
- (616) 554-1964
Authorized Official
- Name
- MR. KIM MULDER
- Title
- OWNER
- Phone
- (616) 827-9100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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