Individual
JASON MICHAEL POPKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
5500 CLYDE PARK AVE SW, WYOMING, MI 49509-9525
(616) 531-9629
Mailing address
5500 CLYDE PARK AVE SW, WYOMING, MI 49509-9525
(616) 531-9629
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302037974
MI
Other
Enumeration date
08/10/2011
Last updated
02/20/2018
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