Individual
JACK ALMASSIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2355 FULLER AVE NE, GRAND RAPIDS, MI 49505-4367
(616) 363-3889
Mailing address
2355 FULLER AVE NE, GRAND RAPIDS, MI 49505-4367
(616) 363-3889
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302022255
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5302022255
STATE LICENSE NUMBER
MI
Enumeration date
09/26/2006
Last updated
07/08/2007
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