Individual
JILLIAN MARIE COONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
100 MICHIGAN ST NE, GRAND RAPIDS, MI 49503-2560
(616) 391-1774
Mailing address
100 MICHIGAN ST NE, GRAND RAPIDS, MI 49503-2560
(616) 391-1774
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
26027897A
IN
183500000X
Pharmacist
Primary
5302415650
MI
183500000X
Pharmacist
PH60765436
WA
Other
Enumeration date
11/21/2017
Last updated
11/10/2023
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