Individual
HANNAH CHAE PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2929 WALKER AVE NW, GRAND RAPIDS, MI 49544-8422
(616) 745-1846
Mailing address
5500 CLYDE PARK AVE SW, WYOMING, MI 49509-6402
(616) 530-7110
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5351011682
MI
Other
Enumeration date
10/25/2021
Last updated
06/25/2023
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