Keystone Pharmacy Inc
Compounding Pharmacy
4021 Cascade Rd Se, Grand Rapids
Michigan, 49546-2177
616-974-9792 616-464-3469
Keystone Pharmacy Inc is a Compounding Pharmacy in Grand Rapids, Michigan. It is located at 4021 Cascade Rd Se, Grand Rapids and it's customer support contact number is 616-974-9792. The authorized person of Keystone Pharmacy Inc is David Miller, R.PH., PH.D. who is Owner of the pharmacy and his contact number is 616-974-9792. Active license number of Keystone Pharmacy Inc is 5301007431 for Compounding Pharmacy in Michigan.
Keystone Pharmacy Inc is a pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.
Pharmacy Details:
Keystone Pharmacy Inc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Keystone Pharmacy Inc |
| Type: | Compounding Pharmacy |
| Location: | 4021 Cascade Rd Se, Grand Rapids,
Michigan, 49546-2177 |
| Phone: | 616-974-9792 |
| Fax: | 616-464-3469 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | David Miller |
| Credentials: | R.PH., PH.D. |
| Position: | Owner |
| Contact Number: | 616-974-9792 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1316049745 |
| NPI Enumeration Date: | 05 Sep, 2006 |
| NPI Last Update On: | 17 Mar, 2017 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Keystone Pharmacy Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| Compounding Pharmacy | 5301007431 | Michigan | Primary | |
| Pharmacy | | | Secondary | |
| Community/Retail Pharmacy | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 2045985 | Other | | Pk |
| 2369086 | Medicaid | Michigan | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 4021 Cascade Rd Se,
Grand Rapids, Michigan |
| Zip: | 49546-2177 |
| Phone Number: | 616-974-9792 |
| Fax Number: | 616-464-3469 |
Patients can reach Keystone Pharmacy Inc at
4021 Cascade Rd Se, Grand Rapids, Michigan or can
call on customer care at 616-974-9792.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.