Individual
EVAN JOHN ODRISCOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
3610 PLAINFIELD AVE NE, GRAND RAPIDS, MI 49525-2402
(906) 241-6960
Mailing address
1231 HAMILTON AVE NW, GRAND RAPIDS, MI 49504-3222
(906) 241-6960
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302415842
MI
Other
Enumeration date
02/14/2024
Last updated
02/14/2024
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