NPI 1306109186

Jennifer Deewaard, PHARMD

Practitioner Pharmacist Greenville, MI

Practice location

Address: 615 S Bower St, Greenville, MI 48838-2614
Phone: (616) 225-6830
Mailing address: 11630 Sandy Bottom Rd NE, Greenville, MI 48838-8348

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 5302033098 (MI)

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Registry record

NPI: 1306109186
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Jun 2012
Record last updated: 18 Jun 2012

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.