Jason Vergouwe
Jason Vergouwe is a Pharmacist in Grand Rapids, Michigan. Practices as a sole proprietor. Licensed in Michigan.
- Licensed in
- MI
- In the registry since
- 2007
Practice location Address checks out
100 Michigan St NEGrand Rapids, MI 49503-2560
Phone: (616) 391-1638
Fax: (616) 391-2958
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pharmacist (primary) | Taxonomy 183500000X · Licence 5302029197 (MI) |
|---|
Record details
| NPI number | 1699812016 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | February 1, 2007 |
| Last updated in NPPES | July 8, 2007 |
| Mailing address | 124 Lonetree Dr Nw, Sparta, MI 49345-8204 |
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