Individual
HOLLY WAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
250 CHERRY ST SE, GRAND RAPIDS, MI 49503-4608
(616) 685-5257
Mailing address
250 CHERRY ST SE, GRAND RAPIDS, MI 49503-4608
(616) 685-5257
Taxonomy
Speciality
Code
Description
License number
State
1835X0200X
Oncology Pharmacist
Primary
5302029405
MI
Other
Enumeration date
05/21/2014
Last updated
05/21/2014
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