IndividualActive
Joshua Ericksen
NPI 1346704566 · Pharmacist · Walker, MI
Provider details
- NPI number
- 1346704566
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 5351013905 (MI)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
3596 Alpine Ave Nw
Walker, MI 49544-1659
Phone: (616) 647-2260
Approximate (ZIP-level) locationGet directions
Mailing address
148 Lexington Ave Nw
Grand Rapids, MI 49504-5649
Registry dates
- Enumerated
- 2019-01-23
- Last updated
- 2019-01-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.