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BLUE CARE NETWORK OF MICHIGAN PHARMACY II NPI 1225122724


NPI Information

NPI: 1225122724
Provider Name: BLUE CARE NETWORK OF MICHIGAN PHARMACY II
Classification: Pharmacy - 3336C0002X
Entity Type: Organization

Specialization: Clinic Pharmacy

Address:
1401 S. CREYTS RD.
LANSING, MI
ZIP 48917
Phone: (517) 322-8200
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BLUE CARE NETWORK OF MICHIGAN PHARMACY II is a clinic pharmacy pharmacy in Lansing, MI. The provider is a pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. BLUE CARE NETWORK OF MICHIGAN PHARMACY II NPI is 1225122724. The provider is registered as an organization entity type.

The provider's business location address is:

1401 S. CREYTS RD.
LANSING, MI
ZIP 48917
Phone: (517) 322-8200
Fax: (517) 322-8242

The provider's authorized official is Michelle S Sturgeon .
The authorized official title is Pharmacy Manager and has the following contact phone number (517) 322-8200.

The enumeration date for this NPI number is 10/2/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336C0002XPharmacyClinic Pharmacy5301003891MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12335885MEDICAIDMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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