Individual
JOHN A RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6370 LAKE MICHIGAN DR, ALLENDALE, MI 49401-8068
(616) 895-7426
(866) 365-7331
Mailing address
12085 60TH AVE, ALLENDALE, MI 49401-9761
(616) 901-4661
(866) 365-7331
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302022639
MI
Other
Enumeration date
11/04/2011
Last updated
11/04/2011
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