Individual
MRS. JOY VANREGENMORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1919 BOSTON ST SE, GRAND RAPIDS, MI 49506-4160
(616) 252-7024
Mailing address
1940 BLUFFVIEW DR SW, BYRON CENTER, MI 49315-9367
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302032567
MI
Other
Enumeration date
04/14/2007
Last updated
07/08/2007
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