1093819229 STATE OF MICHIGAN

Long Term Care Pharmacy

Active

Basic Information

Organization Name
STATE OF MICHIGAN
Enumeration Date
September 8, 2006
Last Update
October 19, 2016
Authorized Official
MR. JOHN WILLIAM CARLSON JR. RPH
DIRECTOR OF PHARMACY
Phone: (616) 364-5355

Practice Location

Address
3000 MONROE AVE NE
GRAND RAPIDS, MI 495053313
Phone
(616) 364-5355
Fax
(616) 364-5260

Mailing Address

Address
3000 MONROE AVE NE
GRAND RAPIDS, MI 495053313
Phone
(616) 364-5355
Fax
(616) 364-5260

Specialties & Taxonomies

Specialty Code Classification License State Primary
Long Term Care Pharmacy
Long Term Care Pharmacy
3336L0003X Pharmacy 5301000666 MI Primary

Other Identifiers

Identifier Type State Issuer
2353631 01 MI NABP NUMBER
5301000666 01 MI PHARMACY ID NUMBER

Frequently Asked Questions

What is STATE OF MICHIGAN's NPI number?
STATE OF MICHIGAN's NPI number is 1093819229.
Which doctor has NPI number 1093819229?
The doctor with NPI number 1093819229 is STATE OF MICHIGAN.
What is STATE OF MICHIGAN's practice address?
STATE OF MICHIGAN's practice address is 3000 MONROE AVE NE, GRAND RAPIDS, MI, 495053313.
Which doctor practices at 3000 MONROE AVE NE, GRAND RAPIDS, MI, 495053313?
STATE OF MICHIGAN practices at 3000 MONROE AVE NE, GRAND RAPIDS, MI, 495053313.
What is STATE OF MICHIGAN's phone number?
STATE OF MICHIGAN's phone number is (616) 364-5355.
Who is (616) 364-5355?
(616) 364-5355 is the phone number for STATE OF MICHIGAN.
What is STATE OF MICHIGAN's specialty?
STATE OF MICHIGAN's specialty is Long Term Care Pharmacy.
What type of doctor is STATE OF MICHIGAN?
STATE OF MICHIGAN is a Long Term Care Pharmacy.
Is STATE OF MICHIGAN a Long Term Care Pharmacy?
Yes, STATE OF MICHIGAN is a Long Term Care Pharmacy.
Is STATE OF MICHIGAN still practicing?
Yes, STATE OF MICHIGAN is currently practicing.
Is STATE OF MICHIGAN accepting new patients?
STATE OF MICHIGAN may be accepting new patients. Please call their office at (616) 364-5355 to inquire about availability.
Is NPI 1093819229 still active?
Yes, NPI 1093819229 is currently active.
Where does STATE OF MICHIGAN practice?
STATE OF MICHIGAN practices in GRAND RAPIDS, MI.