Individual
ANDREW WELBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
7920 SHAVER RD, PORTAGE, MI 49024-5121
(269) 324-9988
(269) 324-7921
Mailing address
8393 GRAPEVINE CIR, MATTAWAN, MI 49071-8432
(269) 267-7987
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302034203
MI
Other
Enumeration date
11/17/2011
Last updated
03/24/2016
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