Custer, Larry Andrew
Custer, Larry Andrew is an sole proprietor health care provider with primary practice located at 1925 Breton Rd Se Suite 202, Grand Rapids MI 49506-4810. He recently has only one registered license in Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, which is considered as his primary health care specialty. Custer, Larry Andrew can be contacted via phone (616) 252-4757.Contact Information
Primary practice address
1925 Breton Rd Se Suite 202
Grand Rapids MI 49506-4810
Phone: (616) 252-4757
Fax: (616) 252-0724
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 024244 | Missouri |
Profile Details
| NPI number | 1730330341 |
|---|---|
| LBN Legal business name | Custer, Larry Andrew |
| Credentials | R.PH. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 2nd, 2008 |
| Last updated | Oct 2nd, 2008 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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