Individual
BRITTANY MYLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
550 BALDWIN ST, JENISON, MI 49428-9753
(616) 667-2010
Mailing address
2442 OAK HOLLOW DR, JENISON, MI 49428-8702
(616) 406-8689
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302040735
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5302040735
STATE OF MICHIGAN
MI
Enumeration date
10/25/2016
Last updated
10/25/2016
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