Individual
DR. BRETT DONALD JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMACIST (PHARMD)
Contact information
Practice address
3326 WEATHERFORD DR NW APT 3A, GRAND RAPIDS, MI 49544-6966
(989) 859-4712
Mailing address
3326 WEATHERFORD DR NW APT 3A, GRAND RAPIDS, MI 49544-6966
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302411978
MI
183700000X
Pharmacy Technician
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/08/2018
Last updated
08/21/2019
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