Individual
JOSHUA JAN DE CASTRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
800 LEONARD ST NW, GRAND RAPIDS, MI 49504-4148
(616) 458-8300
Mailing address
2554 PARASOL DR, TROY, MI 48083-2425
(616) 450-6694
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302040172
MI
183500000X
Pharmacist
64346
TX
Other
Enumeration date
02/29/2020
Last updated
02/29/2020
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