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1013049584
ROBERT B WITHAM
GRAND RAPIDS, MI
NPI
1013049584
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: MI 5302021924)
Enumeration Date
2007-03-11
Last Update Date
2007-07-08
Business Address
Mr. ROBERT B WITHAM RPh
5859 28TH ST SE
GRAND RAPIDS, MI 49546-6905
Phone number: 616-949-9892
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Mailing Address
Mr. ROBERT B WITHAM RPh
3408 THORNAPPLE RIVER DR SE
GRAND RAPIDS, MI 49546-9138
Phone number: 616-949-1325
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