Keystone Pharmacy Inc in Grand Rapids - Compounding Pharmacy
Keystone Pharmacy Inc - NPI 1316049745
Keystone Pharmacy Inc is a Compounding Pharmacy in Grand Rapids, Michigan. Keystone Pharmacy Inc practices all healthcare services and medical treatments related to Compounding Pharmacy. The NPI Number for Keystone Pharmacy Inc is 1316049745. The last update date is 2017-03-17.
Keystone Pharmacy Inc's current location address is 4021 Cascade Rd Se, Grand Rapids, Michigan. You can contact this provider via phone number 6169749792 and fax number 6164643469. The mailing address for Keystone Pharmacy Inc is 4021 Cascade Rd Se, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Keystone Pharmacy Inc |
---|---|
Address | 4021 Cascade Rd Se, Grand Rapids, Michigan |
Phone Number | 6169749792 |
Fax Number | 6164643469 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | OWNER |
---|---|
Authorized Official Name | Miller David |
Credentials | R.PH., PH. |
Telephone Number | 6169749792 |
NPI Number Detail
NPI Number | 1316049745 |
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Provider Enumeration Date | 2006-09-05 |
Last Updated Date | 2017-03-17 |
Provider Mailing Address Detail
Address | 4021 Cascade Rd Se |
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City | Grand Rapids |
State | Michigan (MI) |
Post Code | 495462177 |
Phone Number | 6169749792 |
Fax Number | 6164643469 |
Provider's Primary Taxonomy Detail
Speciality | Compounding Pharmacy |
---|---|
Taxonomy | 3336C0004X |
Licence No | 5301007431 |
Definition: A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional pract |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
2045985 | PK | ||
2369086 | MI | -- |
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What is the unique 10-digit identifier code issued to Keystone Pharmacy Inc by the Centers for Medicare & Medicaid Services?
The Keystone Pharmacy Inc has been assigned the NPI (National Provider Identifier) 1316049745 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Keystone Pharmacy Inc is physically located?
The Keystone Pharmacy Inc is physically situated at the following address: 4021 Cascade Rd Se, Grand Rapids, MI, 495462177.
What is the Keystone Pharmacy Inc's area of specialization and corresponding taxonomy classification?
The Keystone Pharmacy Inc's specialty field is Compounding Pharmacy, and it falls under the taxonomy code 3336C0004X, which categorizes healthcare providers based on their specialties.
On what date did the Keystone Pharmacy Inc receive the assignment of its 1316049745 from the Centers for Medicare & Medicaid Services?
The Keystone Pharmacy Inc was issued its 1316049745 by the Centers for Medicare & Medicaid Services on 2006-09-05.
As of what date were the Keystone Pharmacy Inc's details last updated?
The information pertaining to the Keystone Pharmacy Inc, including its address, specialty, and other details, was most recently updated on 2017-03-17.
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