Most Relevant Information
Provider Data
| NPI Number: | 1003227752 |
| Provider Name: | MARY JANE HOWARD RPH |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 5302026111 |
Most Important Dates
| Enumeration Date: | 05/15/2014 |
| Last Updated: | 05/15/2014 |
Provider Practice Location
1801 MARKETPLACE DR SE
CALEDONIA
MI
493168506
Practice Location Phone/Fax
| Phone: | 6166566110 |
| Fax: | 6166566165 |
Provider Mailing Location
5044 CEDAR RIDGE ST NE
GRAND RAPIDS
MI
495251212
Provider Mailing Phone/Fax
| Phone: | 6163637228 |
| Fax: |