Individual
DEREK VANGALDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
818 S. STATE STREET, HART, MI 49420-4942
(231) 873-2540
Mailing address
818 S. STATE STREET, HART, MI 49420
(231) 873-2540
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5315120840
MI
Other
Enumeration date
03/04/2021
Last updated
03/04/2021
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