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Dr. Timothy Edward Broekhuizen, PHARMD
Pharmacist in Grandville, Michigan
NPI 1730634429

Timothy Edward Broekhuizen is a Pharmacist based in Grandville, MI. Timothy Edward Broekhuizen practices in Grandville, MI and has the professional credentials of PHARMD. The NPI Number for Timothy Edward Broekhuizen is 1730634429 and holds a License No. 5302040726 (Michigan).

The current practice location address for Timothy Edward Broekhuizen is 4542 Kenowa Ave Sw, Grandville, MI and can be reached out via phone at 616-667-9713 and via fax at 616-667-9715.

Location: 4542 Kenowa Ave Sw, Grandville, MI, 49418-9523
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730634429
Provider Name
Timothy Edward Broekhuizen
Credential
PHARMD
Provider Entity Type
Individual
Gender
Male
Address
4542 Kenowa Ave Sw, Grandville, MI, 49418-9523
Phone Number
616-667-9713
Fax Number
616-667-9715
Provider Enumeration Date
08/23/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5302040726 01 MI STATE BOARD OF PHARMACY REGISTERED PHARMACIST LICENSE
institution
Provider Business Practice Location Address Details
Address
4542 Kenowa Ave Sw
City
Grandville
State
Michigan
Zip
49418-9523
Phone Number
616-667-9713
Fax Number
616-667-9715
person
Provider Business Mailing Address Details
Address
4542 Kenowa Ave Sw
City
Grandville
State
Michigan
Zip
49418-9523
Phone Number
616-667-9713
Fax Number
616-667-9715
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
5302040726 (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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