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MEDICINE MART INC. NPI 1013012236


NPI Information

NPI: 1013012236
Provider Name: MEDICINE MART INC.

Doing Business As: GULL POINTE PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 23D2171206

Address:
5585 GULL RD
SUITE 120
KALAMAZOO, MI
ZIP 49048
Phone: (269) 553-5000
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MEDICINE MART INC. is a community/retail pharmacy pharmacy in Kalamazoo, MI. The provider is 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 process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. MEDICINE MART INC. NPI is 1013012236. The provider is registered as an organization entity type.
The provider Is Doing Business As Gull Pointe Pharmacy.

The provider's business location address is:

5585 GULL RD
SUITE 120
KALAMAZOO, MI
ZIP 49048-703
Phone: (269) 553-5000
Fax: (269) 553-0555

The provider's authorized official is Michael M Dabaja .
The authorized official title is Vice President and has the following contact phone number (269) 553-5000.

The CLIA number assigned to this NPI record is 23D2171206 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/13/2006 and was last updated on 5/10/2017.


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
13336C0003XPharmacyCommunity/Retail Pharmacy5301007505MICHIGANYes

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
14369377MEDICAIDMICHIGAN
24453270001MEDICARE ID-TYPE UNSPECIFIED

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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