Individual
MR. LARRY ANDREW CUSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
1925 BRETON RD SE, SUITE 202, GRAND RAPIDS, MI 49506-4810
(616) 252-4757
(616) 252-0724
Mailing address
1925 BRETON RD SE, SUITE 202, GRAND RAPIDS, MI 49506-4810
(616) 252-4757
(616) 252-0724
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
024244
MO
Other
Enumeration date
10/02/2008
Last updated
10/02/2008
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