Individual
ISAAC NYSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1195 M 89, PLAINWELL, MI 49080-1135
(269) 685-3810
Mailing address
1195 M 89, PLAINWELL, MI 49080-1135
(269) 685-3810
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302413872
MI
Other
Enumeration date
02/09/2022
Last updated
02/09/2022
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