Healthcare Provider Details

I. General information

NPI: 1841712924
Provider Name (Legal Business Name): BRITTANY HUFFMAN RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/11/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5500 CLYDE PARK AVE SW
WYOMING MI
49509-9525
US

IV. Provider business mailing address

5500 CLYDE PARK AVE SW
WYOMING MI
49509-9525
US

V. Phone/Fax

Practice location:
  • Phone: 616-530-7110
  • Fax:
Mailing address:
  • Phone: 616-530-7110
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number5302039219
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: