Individual
ANTHONY SCOTT VANDAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2036 LAKE MICHIGAN DR NW, GRAND RAPIDS, MI 49504-4743
(616) 453-2473
Mailing address
2036 LAKE MICHIGAN DR NW, GRAND RAPIDS, MI 49504-4743
(616) 456-2473
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302414514
MI
Other
Enumeration date
11/21/2020
Last updated
08/10/2022
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