Individual
DR. JOSHUA DENNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
5603 BYRON CENTER AVE SW, WYOMING, MI 49519-8606
(616) 530-2338
Mailing address
5269 QUEENSBURY DR SE, KENTWOOD, MI 49508-6368
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051289332
IL
183500000X
Pharmacist
5302041682
MI
183500000X
Pharmacist
PS36045
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051289332
STATE LICENSE
IL
01
—
5302041682
STATE LICENSE
MI
01
—
PS36045
STATE LICENSE
FL
Enumeration date
07/12/2006
Last updated
02/04/2020
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