Organization · Type 2 NPI

Trinity Health - Michigan

Long Term Care Pharmacy · Grand Rapids, MI

NPI number 1295761914 Active

Practice location

360 Division Ave S, Ste 1C
Grand Rapids, MI 49503-4501

Fax (616) 685-1196

Specialties and licenses

Taxonomy	Code	License
Pharmacy	333600000X	None listed
Long Term Care Pharmacy Primary	3336L0003X	5301005760 (MI)

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.

2 other providers at this address

Other long term care pharmacy providers in Grand Rapids

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NPI record

NPI: 1295761914
Entity type: Organization (Type 2)
Issued: Jun 24, 2006
Last updated: May 24, 2023
Status: Active
Subpart: Yes of Trinity Health - Michigan

Other names

<unavail>
Mercy Health Pharmacy - Long Term Care · doing business as
Mercy Health Pharmacy - Long Term Care · doing business as
Trinity Health Pharmacy Long Term Care-Cathedral Square · doing business as

Authorized official

Robert Casalou
President/ceo
(734) 712-3792

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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 1295761914

Trinity Health - Michigan's National Provider Identifier is 1295761914, issued on Jun 24, 2006. 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 May 24, 2023.