Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Thomas J Wickstrom, RPH

Individual provider Pharmacist · NPI 1700167475

Thomas J Wickstrom, RPH is a Pharmacist in Grand Rapids, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2011
What do these letters mean?
RPH — Registered Pharmacist
A pharmacist licensed by a state board.

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Practice location Address checks out

3610 Plainfield Ave NE
Grand Rapids, MI 49525-2402
Phone: (616) 365-1221
Fax: (616) 365-9996
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 5302032441 (MI)

Record details

NPI number1700167475
Entity typeIndividual (Type 1)
GenderMale
Credentials RPH
Sole proprietorYes
NPI enumeratedSeptember 7, 2011
Last updated in NPPESSeptember 7, 2011
Mailing address3610 Plainfield Ave Ne, Grand Rapids, MI 49525-2402

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