Individual
MS. KIMALYN SUE AVERILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
3191 28TH ST SW, GRANDVILLE, MI 49418-1110
(616) 534-5533
(616) 534-2205
Mailing address
2281 BRIDLE CREEK ST SE, KENTWOOD, MI 49508-0957
(616) 745-9213
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302030463
MI
183500000X
Pharmacist
PS42372
FL
Other
Enumeration date
08/25/2011
Last updated
08/25/2011
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