Individual
MR. GARY ALAN VACHON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH., M.M.
Contact information
Practice address
3876 E PARIS AVE SE, SUITE 13, GRAND RAPIDS, MI 49512-3974
(616) 777-0340
(616) 855-0937
Mailing address
1004 ALGER ST SE, GRAND RAPIDS, MI 49507-3806
(616) 490-0111
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
5302025473
MI
Other
Enumeration date
11/16/2009
Last updated
11/16/2009
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