MR. LARRY ANDREW CUSTER R.PH. NPI 1730330341

NPI Information

MR. Larry Andrew Custer, R.PH. is a pharmacist clinician (phc)/ clinical pharmacy specialist pharmacist in Grand Rapids, MI. The provider is pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. MR. Larry Andrew Custer, R.PH. NPI is 1730330341. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1925 BRETON RD SE
SUITE 202
GRAND RAPIDS, MI
ZIP 49506-810
Phone: (616) 252-4757
Fax: (616) 252-0724

The enumeration date for this NPI number is 10/2/2008 and was last updated on 10/2/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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