| Name | Value |
|---|---|
| NAME | GRAND RAPIDS PHARMACY |
| STATE | MICHIGAN |
| STREET ADDR. 1 | 5838 METRO WAY SW |
| CITY | WYOMING |
| ZIP | 49519-9619 |
| OFFICIAL VA NAME | GRAND RAPIDS PHARMACY |
| STATUS | National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME | WYOMING VA CLINIC PHARMACY |
| EFFECTIVE DATE/TIME |
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE | EASTERN |
| COUNTRY | USA |
| AGENCY CODE | VA |
| POINTER TO AGENCY | VA |
| IDENTIFIER |
|