Organization
ADA VILLAGE PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW CLOUTIER PHARM.D. (PHARMACIST/OWNER)
(616) 240-6162
Entity
Organization
Contact information
Practice address
7505 RIVER ST SE STE 108, ADA, MI 49301-8521
(616) 240-6162
Mailing address
252 ROLLINGBROOK NE, ADA, MI 49301-9052
(616) 240-6162
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
07/14/2021
Last updated
08/16/2022
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