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Divinicare Llc
Long Term Care Pharmacy in Baldwin, Michigan
NPI 1114345907

Divinicare Llc is a Long Term Care Pharmacy based in Baldwin, MI and is specialized in Long Term Care Pharmacy. Divinicare Llc practices in Baldwin, MI. The NPI Number for Divinicare Llc is 1114345907 and holds a License No. 5301010379 (Michigan).

The current practice location address for Divinicare Llc is 868 Michigan Ave Ste A, Baldwin, MI and can be reached out via phone at 231-745-4697 and via fax at 231-745-8640. You can also correspond with Divinicare Llc through the mailing address at PO BOX 310, BALDWIN, MI - 49304-0310 (mailing address contact number: 231-745-4697).

Location: 868 Michigan Ave Ste A, Baldwin, MI, 49304-0310
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1114345907
Provider Name
Divinicare Llc
Credential
Provider Entity Type
Organization
Address
868 Michigan Ave Ste A, Baldwin, MI, 49304-0310
Phone Number
231-745-4697
Fax Number
231-745-8640
Provider Enumeration Date
03/31/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2146577 01 PK
institution
Provider Business Practice Location Address Details
Address
868 Michigan Ave Ste A
City
Baldwin
State
Michigan
Zip
49304-7123
Phone Number
231-745-4697
Fax Number
231-745-8640
person
Provider Business Mailing Address Details
Address
868 Michigan Ave Ste A
City
Baldwin
State
Michigan
Zip
49304-7123
Phone Number
231-745-4697
Fax Number
231-745-8640
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
Long Term Care Pharmacy
Taxonomy
3336L0003X
License No.
5301010379 (Michigan)
Definition
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.
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