Individual
JEFFREY BRYAN HUNGERFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1100 PHOENIX ST, SOUTH HAVEN, MI 49090-7912
(269) 637-1457
(269) 637-1613
Mailing address
1100 PHOENIX ST, SOUTH HAVEN, MI 49090-7912
(269) 637-1457
(269) 637-1613
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302035398
MI
Other
Enumeration date
06/15/2020
Last updated
06/15/2020
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