Organization
AHR PROFESSIONALS
Active
Organization
AHR PROFESSIONALS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY BOS RPH (PHARMACIST)
(616) 261-4170
Entity
Organization
Contact information
Practice address
2207 PORTER ST SW, CONDO 108, WYOMING, MI 49519-2276
(616) 261-4170
(616) 929-4482
Mailing address
2207 PORTER ST SW, CONDO 108, WYOMING, MI 49519-2276
(616) 261-4170
(616) 929-4482
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
Primary
43202
CA
251G00000X
Community Based Hospice Care Agency
43202
CA
Other
Enumeration date
01/29/2016
Last updated
01/29/2016
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