Individual
MR. EDWARD RUTOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
HOMETOWN PHARMACY #55- WALKER, 1181 WALKER AVE NW, GRAND RAPIDS, MI 49546
(616) 458-9640
(616) 458-6650
Mailing address
7117 OAKBROOK STREET SE, GRAND RAPIDS, MI 49546-6830
(616) 581-2816
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302025743
MI
Other
Enumeration date
01/25/2021
Last updated
01/25/2021
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