Individual
ANNE WIERENGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
993 BUTTERNUT DR, HOLLAND, MI 49424-1596
(616) 399-4100
(616) 399-9645
Mailing address
993 BUTTERNUT DR, HOLLAND, MI 49424-1596
(616) 399-4100
(616) 399-9645
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
MI5302025885
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5302025885
—
MI
Enumeration date
02/05/2024
Last updated
02/05/2024
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