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SAINT MARYS FAMILY PHARMACY NPI 1679519581


NPI Information

NPI: 1679519581
Provider Name: SAINT MARYS FAMILY PHARMACY

Doing Business As: MERCY HEALTH PHARMACY-CATHEDRAL SQUARE

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
360 DIVISION AVE S
STE 1A
GRAND RAPIDS, MI
ZIP 49503
Phone: (616) 685-1147
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SAINT MARYS FAMILY PHARMACY is a community/retail pharmacy pharmacy in Grand Rapids, 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. SAINT MARYS FAMILY PHARMACY NPI is 1679519581. The provider is registered as an organization entity type.
The provider Is Doing Business As Mercy Health Pharmacy-cathedral Square.

The provider's business location address is:

360 DIVISION AVE S
STE 1A
GRAND RAPIDS, MI
ZIP 49503-501
Phone: (616) 685-1147
Fax: (616) 685-1145

The provider's authorized official is Robert Casalou .
The authorized official title is President/ceo and has the following contact phone number (734) 712-3792.

The enumeration date for this NPI number is 6/20/2006 and was last updated on 1/14/2021.


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
1333600000XPharmacyNo
23336C0003XPharmacyCommunity/Retail Pharmacy5301004226MICHIGANYes

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
11679519581MEDICAIDMICHIGAN
24825146MEDICAIDMICHIGAN
32045998OTHERPK

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: 11/14/2023

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