Individual
JASON BEATTIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11730 FULTON ST E, LOWELL, MI 49331-8692
(616) 367-3104
Mailing address
11730 FULTON ST E, LOWELL, MI 49331-8692
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
5302031982
MI
Other
Enumeration date
01/21/2025
Last updated
01/21/2025
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