Isaac Nystrom, PharmD
Pharmacist in Plainwell, MI. Individual provider (NPI-1).
NPI number1831843630
StatusActive
Last updated in NPPESFeb 9, 2022
Details
- NPI
- 1831843630
- Entity type
- Individual (NPI-1)
- Name
- Isaac Nystrom
- Credential
- PharmD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 9, 2022
- Certification date
- Feb 9, 2022
- Last updated
- Feb 9, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 5302413872 | MI | Yes |
Practice location
1195 M 89Plainwell, MI 49080-1135
Phone 269-685-3810
Mailing address
1195 M 89Plainwell, MI 49080-1135
Phone 269-685-3810
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