Individual provider · Type 1 NPI

Tiffany Elaine Carlson

Pharmacist · Grand Rapids, MI

NPI number 1245747518 Active

Practice location

3757 Plainfield Ave NE
Grand Rapids, MI 49525-2403

Mailing address

3474 Stephanie Dr
Hudsonville, MI 49426-7535

Other practice locations

  • 25 Michigan St NE, Grand Rapids, MI 49503-2515 · (616) 643-1138

Specialties and licenses

TaxonomyCodeLicense
Pharmacist 183500000X81910 (CA)
Pharmacist Primary 183500000X5302411724 (MI)

Pharmacist: 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…

7 other providers at this address

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About NPI 1245747518

Tiffany Elaine Carlson's National Provider Identifier is 1245747518, issued on Jan 8, 2018. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Grand Rapids, MI. The record was last updated on Aug 26, 2021.