Individual
DR. JERIKA NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD, BCPS, BCCCP
Contact information
Practice address
525 CLANCY AVE NE APT 120, GRAND RAPIDS, MI 49503-1843
(616) 350-1555
Mailing address
525 CLANCY AVE NE APT 120, GRAND RAPIDS, MI 49503-1843
(616) 350-1555
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302411567
MI
183500000X
Pharmacist
RP452948
PA
183500000X
Pharmacist
RPH-0016027
OR
1835C0205X
Critical Care Pharmacist
7152564
MI
1835P1200X
Pharmacotherapy Pharmacist
3158708
MI
Other
Enumeration date
07/28/2020
Last updated
07/28/2020
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