Fuller Avenue Pharmacy in Grand Rapids - Community/retail Pharmacy
Fuller Avenue Pharmacy - NPI 1922109214
Fuller Avenue Pharmacy is a Community/retail Pharmacy in Grand Rapids, Michigan. Fuller Avenue Pharmacy practices all healthcare services and medical treatments related to Community/retail Pharmacy. The NPI Number for Fuller Avenue Pharmacy is 1922109214. The last update date is 2020-08-22.
Fuller Avenue Pharmacy's current location address is 2355 Fuller Ave Ne, Grand Rapids, Michigan. You can contact this provider via phone number 6163633889. The mailing address for Fuller Avenue Pharmacy is 2355 Fuller Ave Ne, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Fuller Avenue Pharmacy |
|---|---|
| Address | 2355 Fuller Ave Ne, Grand Rapids, Michigan |
| Phone Number | 6163633889 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Almassian Jack |
| Telephone Number | 6163633889 |
NPI Number Detail
| NPI Number | 1922109214 |
|---|---|
| Provider Enumeration Date | 2006-09-26 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 2355 Fuller Ave Ne |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 495054367 |
| Phone Number | 6163633889 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Community/retail Pharmacy |
|---|---|
| Taxonomy | 3336C0003X |
| Licence No | 5301002349 |
|
Definition: 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 pr |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5301002349 | MI | STATE LICENSE NUMBER |
Post Comment/ Review Below
What is the Fuller Avenue Pharmacy's 1922109214?
The Fuller Avenue Pharmacy's NPI (National Provider Identifier) Number is 1922109214. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Fuller Avenue Pharmacy's facilities are situated?
The facilities of Fuller Avenue Pharmacy are physically located at the following address: 2355 Fuller Ave Ne, Grand Rapids, MI, 495054367.
What is Fuller Avenue Pharmacy's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Fuller Avenue Pharmacy is Community/retail Pharmacy, and the taxonomy code that classifies this field of practice is 3336C0003X.
On what date did the Fuller Avenue Pharmacy receive the assignment of its 1922109214 from the Centers for Medicare & Medicaid Services?
The Fuller Avenue Pharmacy was issued its 1922109214 by the Centers for Medicare & Medicaid Services on 2006-09-26.
When was the information pertaining to Fuller Avenue Pharmacy most recently updated or revised?
The details related to Fuller Avenue Pharmacy, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.
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