Individual
DR. ASHLEY DIEDRICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM. D
Contact information
Practice address
2680 LEONARD ST NE STE 5, GRAND RAPIDS, MI 49525-6901
(616) 224-1121
(616) 224-3001
Mailing address
2680 LEONARD ST NE STE 5, GRAND RAPIDS, MI 49525-6901
(616) 224-1121
(616) 224-3001
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302038678
MI
Other
Enumeration date
12/03/2020
Last updated
12/11/2024
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