Individual
DR. AMY S POUILLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
938 MAXWELL AVE SE, EAST GRAND RAPIDS, MI 49506-3443
(616) 706-9210
(866) 618-5691
Mailing address
938 MAXWELL AVE SE, EAST GRAND RAPIDS, MI 49506-3443
(616) 706-9210
(866) 618-5691
Taxonomy
Speciality
Code
Description
License number
State
1835G0303X
Geriatric Pharmacist
Primary
5302034728
MI
Other
Enumeration date
05/20/2007
Last updated
07/08/2007
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