Organization · Type 2 NPI

Kentwood Pharmacy LLC

Pharmacy · Grand Rapids, MI

NPI number 1225352909 Active

Practice location

2026 Boston St. SE
Grand Rapids, MI 49506

Call (616) 452-9734 Map

Fax (616) 452-7255

Mailing address

2480 44th St SE
Grand Rapids, MI 49512

Specialties and licenses

Taxonomy	Code	License
Pharmacy Primary	333600000X	5301009297 (MI)

Pharmacy: A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is lo…

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About NPI 1225352909

Kentwood Pharmacy LLC's National Provider Identifier is 1225352909, issued on Mar 24, 2010. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Grand Rapids, MI. The record was last updated on Mar 24, 2010.