Individual
JOSHUA DEAN GALLUP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1540 28TH ST SE, GRAND RAPIDS, MI 49508-1412
(616) 248-2610
Mailing address
1540 28TH ST SE, GRAND RAPIDS, MI 49508-1412
(616) 248-2610
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302038826
MI
Other
Enumeration date
01/29/2020
Last updated
03/26/2025
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