Kentwood Pharmacy
NPI #1760638019 in Saint Louis, Michigan
Provider Information
- NPI Number
- 1760638019
- Entity Type
- Organization
- Organization Name
- Kentwood Pharmacy
- Primary Specialty
- Pharmacy - Long Term Care Pharmacy
- Enumeration Date
- Aug 18, 2008
- Last Updated
- Jul 9, 2010
Practice Location
- Address
- 116 N MILL ST
- City
- Saint Louis
- State
- Michigan
- ZIP Code
- 48880-1521
- Phone
- (989) 681-6633
Authorized Official
- Name
- MARK DOWNER
- Title
- ACCOUNTS PAYABLE
- Phone
- (616) 827-9100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
| Durable Medical Equipment & Medical Supplies |
| Pharmacy - Long Term Care Pharmacy — Long Term Care Pharmacy |
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