Organization
APC-D&S, LLC
Active
Other names
Haven Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ANNE MARIE KOZAL R.PH. (PHARMACIST IN CHARGE)
(616) 369-6401
Entity
Organization
Contact information
Practice address
2680 LEONARD NE, SUITE 5, GRAND RAPIDS, MI 49525-6901
(616) 369-6401
(616) 315-2646
Mailing address
2680 LEONARD ST NE STE 5, GRAND RAPIDS, MI 49525-6901
(616) 369-6401
(616) 315-2646
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2356815
NABP
MI
Enumeration date
12/27/2006
Last updated
05/23/2023
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