Individual
JACK A POLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
2245 84TH ST SW, BYRON CENTER, MI 49315-8666
(616) 878-6047
Mailing address
4449 SUGARBUSH CT SW, WYOMING, MI 49418-9798
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302024262
MI
Other
Enumeration date
01/05/2013
Last updated
01/05/2013
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