STATE OF MICHIGAN

Pharmacy - Long Term Care Pharmacy

Active Organization
NPI: 1093819229

Practice Address

2950 MONROE AVE NE
Grand Rapids, MI 49505

Phone: (616) 364-5355

Specialties

Specialty Code Primary License
Pharmacy - Long Term Care Pharmacy 3336L0003X Yes 5301000666 (MI)

Frequently Asked Questions

NPI 1093819229 is the National Provider Identifier for STATE OF MICHIGAN, a Pharmacy - Long Term Care Pharmacy provider located in Grand Rapids, MI. This NPI was enumerated on September 8, 2006.

Quick Facts

NPI
1093819229
Type
Organization
Enumerated
Sep 8, 2006
Last Updated
Feb 4, 2026

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