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1225352909
KENTWOOD PHARMACY LLC
GRAND RAPIDS, MI
NPI
1225352909
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Entity Type
Organization
Authorized Contact
KIM MULDER
CEO
616-827-9100
Organization Subpart ?
Yes
Primary Taxonomy
333600000X Pharmacy
(Licence: MI 5301009297)
Enumeration Date
2010-03-24
Last Update Date
2010-03-24
Business Address
KENTWOOD PHARMACY LLC
2026 BOSTON ST. SE
GRAND RAPIDS, MI 49506
Phone number: 616-452-9734
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Mailing Address
KENTWOOD PHARMACY LLC
2480 44TH ST SE
GRAND RAPIDS, MI 49512
Phone number: 616-827-9100
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