Individual provider · Type 1 NPI

Thomas J. Wickstrom, RPH

Pharmacist · Grand Rapids, MI

NPI number 1700167475 Active

Practice location

3610 Plainfield Ave NE
Grand Rapids, MI 49525-2402

Call (616) 365-1221 Map

Fax (616) 365-9996

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X5302032441 (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 1700167475

Thomas J. Wickstrom, RPH's National Provider Identifier is 1700167475, issued on Sep 7, 2011. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Grand Rapids, MI. The record was last updated on Sep 7, 2011.