KEYSTONE PHARMACY INC is a compounding pharmacy pharmacy in Grand Rapids, MI. The provider is 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 practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice. KEYSTONE PHARMACY INC NPI is 1316049745. The provider is registered as an organization entity type.
The provider Is Doing Business As Keystone Pharmacy.
The provider's business location address is:
4021 CASCADE RD SE
GRAND RAPIDS, MI
ZIP 49546-177
Phone: (616) 974-9792
Fax: (616) 464-3469
The provider's authorized official is David Miller .
The authorized official title is Owner and has the following contact phone number (616) 974-9792.
The CLIA number assigned to this NPI record is 23D2067081 - pharmacy with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 9/5/2006 and was last updated on 3/17/2017.