Individual
LINCE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
4410 DIVISION AVE S, GRAND RAPIDS, MI 49548-4305
(616) 532-9241
Mailing address
4410 DIVISION AVE S, GRAND RAPIDS, MI 49548-4305
(616) 532-9241
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
051300157
IL
183500000X
Pharmacist
Primary
5302045641
MI
Other
Enumeration date
06/27/2017
Last updated
07/21/2022
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