Individual
DR. JESSE RYAN ALVARADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD, MBA
Contact information
Practice address
2900 BURLINGAME AVE SW, WYOMING, MI 49509-2610
(616) 538-1490
(616) 531-8855
Mailing address
2900 BURLINGAME AVE SW, WYOMING, MI 49509-2610
(616) 538-1490
(616) 531-8855
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302044722
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1189609
NABP
—
Enumeration date
06/06/2017
Last updated
04/15/2020
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