Individual
DR. KIMBERLY J VANDORP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM-D
Contact information
Practice address
2643 KALAMAZOO AVE SE, GRAND RAPIDS, MI 49507-3900
(616) 452-4870
Mailing address
2643 KALAMAZOO AVE SE, GRAND RAPIDS, MI 49507-3900
(616) 452-4870
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302037272
MI
Other
Enumeration date
10/05/2011
Last updated
10/05/2011
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