Keystone Pharmacy INC
NPI #1316049745 in Grand Rapids, Michigan
Provider Information
- NPI Number
- 1316049745
- Entity Type
- Organization
- Organization Name
- Keystone Pharmacy INC
- Primary Specialty
- Pharmacy - Compounding Pharmacy
- Enumeration Date
- Sep 5, 2006
- Last Updated
- Mar 17, 2017
Practice Location
- Address
- 4021 CASCADE RD SE
- City
- Grand Rapids
- State
- Michigan
- ZIP Code
- 49546-2177
- Phone
- (616) 974-9792
Authorized Official
- Name
- DAVID MILLER, R.PH., PH.D.
- Title
- OWNER
- Phone
- (616) 974-9792
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
| Pharmacy - Compounding Pharmacy — Compounding Pharmacy |
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