Individual
BETH HAVERKAMJP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2829 DIVISION AVE S, WYOMING, MI 49548-1152
(616) 248-9030
(616) 248-7968
Mailing address
3843 BANTAM DR, HUDSONVILLE, MI 49426-7526
(810) 669-2002
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
028050
MI
Other
Enumeration date
10/21/2011
Last updated
10/21/2011
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