Organization · Type 2 NPI

Pharmerica Drug Systems LLC

Long Term Care Pharmacy · Grand Rapids, MI

NPI number 1376576959 Active

Practice location

4575 44th St SE, Suite A
Grand Rapids, MI 49512-4080

Call (616) 954-6833 Map

Fax (616) 954-3806

Mailing address

3802 Corporex Park Dr Ste 150
Tampa, FL 33619-1135

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies	332B00000X	None listed
Long Term Care Pharmacy Primary	3336L0003X	5301007793 (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: 1376576959
Entity type: Organization (Type 2)
Issued: Jul 8, 2006
Last updated: Feb 13, 2024
Status: Active
Subpart: Yes of Pharmerica Corporation

Other names

<unavail>
Pharmerica · doing business as
Pharmerica · doing business as

Authorized official

Allison L. Brown
Secretary
(502) 630-7429

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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 1376576959

Pharmerica Drug Systems LLC's National Provider Identifier is 1376576959, issued on Jul 8, 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 Feb 13, 2024.