Wyoming Park Pharmacy
NPI #1962527010 in Wyoming, Michigan
Provider Information
- NPI Number
- 1962527010
- Entity Type
- Organization
- Organization Name
- Wyoming Park Pharmacy
- Primary Specialty
- Pharmacy - Compounding Pharmacy
- Enumeration Date
- Mar 20, 2007
- Last Updated
- Aug 22, 2020
Practice Location
Authorized Official
- Name
- MR. PAUL ALAN JENSEN, R.PH.
- Title
- OWNER
- Phone
- (616) 532-2362
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Compounding Pharmacy — Compounding Pharmacy |
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