Individual
DR. DARREN ROBERT JACKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
100 MICHIGAN ST NE, GRAND RAPIDS, MI 49503-2560
(269) 532-0219
Mailing address
100 MICHIGAN ST NE, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302412856
MI
Other
Enumeration date
10/19/2021
Last updated
10/19/2021
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