Organization · Type 2 NPI

Trinity Health - Michigan

Community/Retail Pharmacy · Grand Rapids, MI

NPI number 1871205575 Active

Practice location

730 Cesar E Chavez Ave SW Ste 200
Grand Rapids, MI 49503-4920

Fax (616) 685-7309

Specialties and licenses

Taxonomy	Code	License
Community/Retail Pharmacy Primary	3336C0003X	None listed

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 …

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NPI record

NPI: 1871205575
Entity type: Organization (Type 2)
Issued: Dec 14, 2022
Last updated: Dec 14, 2022
Status: Active
Subpart: Yes of Trinity Health - Michigan

Other names

Trinity Health Pharmacy - Roosevelt Park · 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 1871205575

Trinity Health - Michigan's National Provider Identifier is 1871205575, issued on Dec 14, 2022. 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 Dec 14, 2022.