Organization · Type 2 NPI
Kentwood Pharmacy
Long Term Care Pharmacy · St. Louis, MI
NPI number
1760638019
Active
Practice location
116 N Mill St
St. Louis, MI 48880-1521
Fax (989) 681-6644
Mailing address
2480 44th St SE
Kentwood, MI 49512-9090
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | None listed |
| Community/Retail Pharmacy | 3336C0003X | None listed |
| Long Term Care Pharmacy Primary | 3336L0003X | 5901008943 (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
About NPI 1760638019
Kentwood Pharmacy's National Provider Identifier is 1760638019, issued on Aug 18, 2008. The primary taxonomy on file is Long Term Care Pharmacy (3336L0003X), and the practice location is in St. Louis, MI. The record was last updated on Jul 9, 2010.