Individual
BETHANY LATHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D
Contact information
Practice address
14700 US 31, GRAND HAVEN, MI 49417-8390
(616) 844-4184
Mailing address
14700 US 31, GRAND HAVEN, MI 49417-8390
(616) 844-4184
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302040739
MI
Other
Enumeration date
10/26/2020
Last updated
10/26/2020
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