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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 16 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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