<Unavail>
LBN: Keystone Pharmacy Inc
<Unavail> is an health care organization with primary practice located at 4021 Cascade Rd Se , Grand Rapids MI 49546-2177. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Compounding Pharmacy is the primary health care specialty.
Keystone Pharmacy Inc can be contacted via phone (616) 974-9792, or through Miller, David via phone (616) 974-9792.
Contact Information
Primary practice address
4021 Cascade Rd Se
Grand Rapids MI 49546-2177
Phone: (616) 974-9792
Fax: (616) 464-3469
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | ||
| Suppliers / Compounding Pharmacy | 3336C0004X | 5301007431 | Michigan |
Profile Details
| NPI number | 1316049745 |
|---|---|
| LBN Legal business name | Keystone Pharmacy Inc |
| DBA Doing business as | <Unavail> |
| Authorized official | Miller, David R.PH., PH.D. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 5th, 2006 |
| Last updated | Mar 17th, 2017 - about 9 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316049745 | NPPES |
| Other | 2045985 | PK | |
| MEDICAID | 2369086 | PK |
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