Organization · Type 2 NPI

Saint Marys Family Pharmacy

Community/Retail Pharmacy · Grand Rapids, MI

NPI number 1679519581 Active

Practice location

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

Fax (616) 685-1145

Specialties and licenses

Taxonomy	Code	License
Pharmacy	333600000X	None listed
Community/Retail Pharmacy Primary	3336C0003X	5301004226 (MI)

Community/Retail Pharmacy: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other …

2 other providers at this address

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NPI record

NPI: 1679519581
Entity type: Organization (Type 2)
Issued: Jun 20, 2006
Last updated: Sep 26, 2022
Status: Active

Other names

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Mercy Health Pharmacy-Cathedral Square · doing business as
Trinity Health Pharmacy - 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 1679519581

Saint Marys Family Pharmacy's National Provider Identifier is 1679519581, issued on Jun 20, 2006. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Grand Rapids, MI. The record was last updated on Sep 26, 2022.