Individual
ABIGAIL MIA POORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
4100 LAKE DR SE STE 200, GRAND RAPIDS, MI 49546-8292
(616) 391-3397
Mailing address
255 BRADFORD ST NE APT 32, GRAND RAPIDS, MI 49503-1976
(616) 560-3650
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302415266
MI
Other
Enumeration date
07/15/2024
Last updated
07/15/2024
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