Individual
JENNIFER ANN ABRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
2755 LAKE MICHIGAN DR NW, GRAND RAPIDS, MI 49504-5872
(616) 791-4777
(616) 791-8110
Mailing address
2755 LAKE MICHIGAN DR NW, GRAND RAPIDS, MI 49504-5872
(616) 791-4777
(616) 791-8110
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302033894
MI
Other
Enumeration date
10/01/2011
Last updated
10/01/2011
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