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PRIMECARE PHARMACY LLC NPI 1396976692


NPI Information

NPI: 1396976692
Provider Name: PRIMECARE PHARMACY LLC

Doing Business As: PRIMECARE PHARMACY

Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

Address:
3630 GULL RD
KALAMAZOO, MI
ZIP 49048
Phone: (269) 492-3300
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PRIMECARE PHARMACY LLC is a long term care pharmacy pharmacy in Kalamazoo, MI. The provider is 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 congregate living arrangements. PRIMECARE PHARMACY LLC NPI is 1396976692. The provider is registered as an organization entity type.
The provider Is Doing Business As Primecare Pharmacy.

The provider's business location address is:

3630 GULL RD
KALAMAZOO, MI
ZIP 49048-272
Phone: (269) 492-3300

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

The enumeration date for this NPI number is 8/4/2009 and was last updated on 10/6/2009.


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
13336L0003XPharmacyLong Term Care Pharmacy5301009165MICHIGANYes

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
12373037OTHERNCPDP PROVIDER IDENTIFICATION NUMBER

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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