Individual
BRITTANY MCMAHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 JEFFERSON AVE SE, GRAND RAPIDS, MI 49503-4502
(616) 685-5381
Mailing address
577 RIVERBANK CIR, ZEELAND, MI 49464-1401
(616) 610-4864
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302415384
MI
183700000X
Pharmacy Technician
—
—
390200000X
Student in an Organized Health Care Education/Training Program
5351016178
MI
Other
Enumeration date
12/29/2020
Last updated
07/28/2023
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