Individual
AMY PAVLAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
100 CHERRY ST SE, GRAND RAPIDS, MI 49503-4526
(616) 965-8278
Mailing address
100 CHERRY ST SE, GRAND RAPIDS, MI 49503-4526
(616) 965-8278
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302046549
MI
183500000X
Pharmacist
69825
CA
Other
Enumeration date
11/19/2013
Last updated
11/29/2018
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