DYKSTRA DRUG STORE
91 Douglas Ave
Holland, MI 49424
616-392-8130
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 3336C0003X | Suppliers - Pharmacy - Community/Retail Pharmacy | MI | 5301001241 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
NCPDP | 2328587 | MI | OTHER |
2328587 | MI | MEDICAID | |
4294122 | MI | MEDICAID |