Individual
DR. CATHLEEN MARIE EDICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
850 76TH ST SW, MAILCODE: GR761120, GRAND RAPIDS, MI 49518-8700
(616) 878-2324
(616) 878-8850
Mailing address
850 76TH ST SW, MAILCODE: GR761120, GRAND RAPIDS, MI 49518-8700
(616) 878-2324
(616) 878-8850
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11655
TN
183500000X
Pharmacist
5302034435
MI
Other
Enumeration date
07/18/2005
Last updated
12/27/2012
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