LTC PHARMACY LLC NPI 1588963706

NPI Information

LTC PHARMACY LLC is a long term care pharmacy pharmacy in Grand Rapids, 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 for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. LTC PHARMACY LLC NPI is 1588963706. The provider is registered as an organization entity type.

The provider's business location address is:

1314 LEONARD ST NW
GRAND RAPIDS, MI
ZIP 49504-937
Phone: (616) 214-8011
Fax: (616) 554-9581

The provider's authorized official is Christopher Michael Schoen .
The authorized official title is Vice President and has the following contact phone number (419) 654-1973.

The enumeration date for this NPI number is 3/28/2011 and was last updated on 3/7/2017.

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:

Other Identifiers

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