Individual
BENJAMIN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
14700 US 31, GRAND HAVEN, MI 49417-8390
(616) 844-4184
Mailing address
11791 168TH AVE, GRAND HAVEN, MI 49417-9638
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5303035923
MI
Other
Enumeration date
09/28/2021
Last updated
09/28/2021
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