Individual
BRIAN ALBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMACY TECHNICIAN
Contact information
Practice address
4542 KENOWA AVE SW, GRANDVILLE, MI 49418-9523
(616) 667-9713
Mailing address
5652 E TOWN DR UNIT 2, HUDSONVILLE, MI 49426-8798
(708) 515-1012
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
5303020503
MI
Other
Enumeration date
03/05/2021
Last updated
03/05/2021
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