Individual
JESSICA GOLDSWORTHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
200 JEFFERSON AVE SE, GRAND RAPIDS, MI 49503-4502
(616) 685-5308
Mailing address
1762 OVERFIELD DR SE, GRAND RAPIDS, MI 49508-6695
(906) 362-1245
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5351013599
MI
Other
Enumeration date
07/01/2020
Last updated
07/01/2020
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