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Thomas J Wickstrom, RPH
Pharmacist in Grand Rapids, Michigan
NPI 1700167475

Thomas J Wickstrom is a Pharmacist based in Grand Rapids, MI. Thomas J Wickstrom practices in Grand Rapids, MI and has the professional credentials of RPH. The NPI Number for Thomas J Wickstrom is 1700167475 and holds a License No. 5302032441 (Michigan).

The current practice location address for Thomas J Wickstrom is 3610 Plainfield Ave Ne, Grand Rapids, MI and can be reached out via phone at 616-365-1221 and via fax at 616-365-9996.

Location: 3610 Plainfield Ave Ne, Grand Rapids, MI, 49525-2402
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700167475
Provider Name
Thomas J Wickstrom
Credential
RPH
Provider Entity Type
Individual
Gender
Male
Address
3610 Plainfield Ave Ne, Grand Rapids, MI, 49525-2402
Phone Number
616-365-1221
Fax Number
616-365-9996
Provider Enumeration Date
09/07/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3610 Plainfield Ave Ne
City
Grand Rapids
State
Michigan
Zip
49525-2402
Phone Number
616-365-1221
Fax Number
616-365-9996
person
Provider Business Mailing Address Details
Address
3610 Plainfield Ave Ne
City
Grand Rapids
State
Michigan
Zip
49525-2402
Phone Number
616-365-1221
Fax Number
616-365-9996
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
5302032441 (Michigan)
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
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