NPI 1558478610
Kentwood Pharmacy
Practice location
- Address
- 6680 Kalamazoo Ave SE, Grand Rapids, MI 49508-7030
- Phone
- (616) 554-1964
- Fax
- (616) 554-3140
- Mailing address
- 6680 Kalamazoo Avenue SE, Grand Rapids, MI 49508
Authorised official
- Name
- Kim Mulder
- Title
- Owner
- Phone
- (616) 827-9100
Registered specialties
Pharmacist
Primary
Registry record
- NPI
- 1558478610
- Entity type
- Organization
- NPI issued
- 24 Aug 2006
- Record last updated
- 27 Feb 2008
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.