State Of Michigan in Grand Rapids - Long Term Care Pharmacy
State Of Michigan - NPI 1093819229
State Of Michigan is a Long Term Care Pharmacy in Grand Rapids, Michigan. State Of Michigan practices all healthcare services and medical treatments related to Long Term Care Pharmacy. The NPI Number for State Of Michigan is 1093819229. The last update date is 2016-10-19.
State Of Michigan's current location address is 3000 Monroe Ave Ne, Grand Rapids, Michigan. You can contact this provider via phone number 6163645355 and fax number 6163645260. The mailing address for State Of Michigan is 3000 Monroe Ave Ne, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | State Of Michigan |
|---|---|
| Address | 3000 Monroe Ave Ne, Grand Rapids, Michigan |
| Phone Number | 6163645355 |
| Fax Number | 6163645260 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR O |
|---|---|
| Authorized Official Name | Carlson William John |
| Credentials | RPH |
| Telephone Number | 6163645355 |
NPI Number Detail
| NPI Number | 1093819229 |
|---|---|
| Provider Enumeration Date | 2006-09-08 |
| Last Updated Date | 2016-10-19 |
Provider Mailing Address Detail
| Address | 3000 Monroe Ave Ne |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 495053313 |
| Phone Number | 6163645355 |
| Fax Number | 6163645260 |
Provider's Primary Taxonomy Detail
| Speciality | Long Term Care Pharmacy |
|---|---|
| Taxonomy | 3336L0003X |
| Licence No | 5301000666 |
|
Definition: 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 congregat |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2353631 | MI | NABP NUMBER | |
| 5301000666 | MI | PHARMACY ID NUMBER |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to State Of Michigan by the Centers for Medicare & Medicaid Services?
The State Of Michigan has been issued the NPI (National Provider Identifier) 1093819229, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where State Of Michigan is physically located?
The State Of Michigan is situated at the following address: 3000 Monroe Ave Ne, Grand Rapids, MI 495053313.
What is State Of Michigan's area of expertise and its corresponding taxonomy classification?
The State Of Michigan's field of specialization is Long Term Care Pharmacy, and it falls under the taxonomy code 3336L0003X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1093819229 assigned to State Of Michigan?
The State Of Michigan was issued its 1093819229 on 2006-09-08, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to State Of Michigan most recently updated or revised?
The information pertaining to State Of Michigan, including its address, specialty, and other relevant details, was last updated or revised on 2016-10-19.