Individual provider · Type 1 NPI

Macy Jo Bradshaw, PharmD

Pharmacist · Grand Rapids, MI

NPI number 1669142857 Active

Practice location

200 Jefferson Ave SE
Grand Rapids, MI 49503-4502

Call (616) 685-5305 Map

Mailing address

1011 Logan St SE
Grand Rapids, MI 49506-2532

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X5302413825 (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…

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About NPI 1669142857

Macy Jo Bradshaw, PharmD's National Provider Identifier is 1669142857, issued on Sep 17, 2021. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Grand Rapids, MI. The record was last updated on Sep 17, 2021.