Individual
BRENNAN JAMES FOREMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMACY INTERN
Contact information
Practice address
355 54TH ST SW, WYOMING, MI 49548-5614
(616) 552-6226
Mailing address
148 LEXINGTON AVE NW, GRAND RAPIDS, MI 49504-5649
(614) 440-4387
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302044620
MI
Other
Enumeration date
01/22/2019
Last updated
01/22/2019
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