State Of Michigan is not a DME supplier for medicare equipments and products.
State Of Michigan is a Long Term Care Pharmacy in Grand Rapids, Michigan. It is located at 3000 Monroe Ave Ne, Grand Rapids and it's customer support contact number is 616-364-5355. The authorized person of State Of Michigan is Mr. John William Carlson Jr., RPH who is Director Of Pharmacy of the pharmacy and his contact number is 616-364-5355. Active license number of State Of Michigan is 5301000666 for Long Term Care Pharmacy in Michigan. State Of Michigan 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.
Pharmacy Details:
State Of Michigan 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:
State Of Michigan
Type:
Long Term Care Pharmacy
Location:
3000 Monroe Ave Ne, Grand Rapids, Michigan, 49505-3313
Phone:
616-364-5355
Fax:
616-364-5260
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:
Mr. John William Carlson Jr.
Credentials:
RPH
Position:
Director Of Pharmacy
Contact Number:
616-364-5355
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:
1093819229
NPI Enumeration Date:
08 Sep, 2006
NPI Last Update On:
19 Oct, 2016
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for State Of Michigan are as mentioned below.
Specialization
License Number
State
Status
Long Term Care Pharmacy
5301000666
Michigan
Primary
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
2353631
Other
Michigan
Nabp Number
5301000666
Other
Michigan
Pharmacy Id Number
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
3000 Monroe Ave Ne, Grand Rapids, Michigan
Zip:
49505-3313
Phone Number:
616-364-5355
Fax Number:
616-364-5260
Patients can reach State Of Michigan at 3000 Monroe Ave Ne, Grand Rapids, Michigan or can call on customer care at 616-364-5355.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 March, 2025.
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