Individual
DR. AMY GACKENHEIMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1225 LEONARD ST NE, GRAND RAPIDS, MI 49505-5510
(616) 459-6203
(616) 454-8777
Mailing address
1150 BILLINGS CT SE APT 3A, GRAND RAPIDS, MI 49508-7386
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302039419
MI
Other
Enumeration date
04/24/2018
Last updated
04/24/2018
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