Organization · Type 2 NPI

Guardian Pharmacy of Grand Rapids, LLC

Long Term Care Pharmacy · Grand Rapids, MI

NPI number 1225688229 Active

Practice location

2930 29th St SE
Grand Rapids, MI 49512-1723

Call (616) 965-7480 Map

Fax (616) 974-8205

Mailing address

P. O. Box 11407, Dept # 8130
Birmingham, AL 35246-8130

Specialties and licenses

Taxonomy	Code	License
Long Term Care Pharmacy Primary	3336L0003X	None listed

Long Term Care Pharmacy: A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.

Other long term care pharmacy providers in Grand Rapids

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NPI record

NPI: 1225688229
Entity type: Organization (Type 2)
Issued: Sep 12, 2019
Last updated: Jan 28, 2020
Status: Active

Other names

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Guardian Pharmacy of Michigan · doing business as
Guardian Pharmacy of Michigan · doing business as

Authorized official

Nathan Stauffer
Vice President
(616) 965-7480

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1225688229

Guardian Pharmacy of Grand Rapids, LLC's National Provider Identifier is 1225688229, issued on Sep 12, 2019. The primary taxonomy on file is Long Term Care Pharmacy (3336L0003X), and the practice location is in Grand Rapids, MI. The record was last updated on Jan 28, 2020.