Individual
MR. ADAM MATHEW KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPHT, PRS
Contact information
Practice address
1550 E BELTLINE AVE SE STE 175, GRAND RAPIDS, MI 49506-4362
(616) 575-0211
Mailing address
1550 E BELTLINE AVE SE STE 175, GRAND RAPIDS, MI 49506-4362
(616) 575-0211
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
—
—
183700000X
Pharmacy Technician
Primary
5303000545
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
490107010039286
PHARMACY TECHNICAN CERTIFICATION BOARD
MI
01
—
5303000545
MICHIGAN BOARD OF PHARMACY
MI
Enumeration date
10/18/2018
Last updated
08/22/2019
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