Individual
MRS. ELIZABETH MCGOUGH PATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
3019 COIT AVE NE, GRAND RAPIDS, MI 49505-3376
(616) 365-9575
Mailing address
6070 PINE ISLAND DR NE, COMSTOCK PARK, MI 49321-9541
(616) 785-7068
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302411289
MI
Other
Enumeration date
09/15/2006
Last updated
07/08/2007
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