Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
WYOMING PARK PHARMACY
Active
Organization
WYOMING PARK PHARMACY
Active
Other names
WYOMING PARK COMPOUNDING PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL ALAN JENSEN R.PH. (OWNER)
(616) 532-2362
Entity
Organization
Contact information
Practice address
2301 LEE ST SW, WYOMING, MI 49519-1620
(616) 532-2362
(616) 532-7378
Mailing address
2301 LEE ST SW, WYOMING, MI 49519-1620
(616) 532-2362
(616) 532-7378
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
—
—
Other
Enumeration date
03/20/2007
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up