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Ltc Pharmacy, Llc
Pharmacy in Kentwood, Michigan
NPI 1538405774

Ltc Pharmacy, Llc is a Pharmacy based in Kentwood, MI. Ltc Pharmacy, Llc practices in Kentwood, MI. The NPI Number for Ltc Pharmacy, Llc is 1538405774 and holds a License No. 5301009544 (Michigan).

The current practice location address for Ltc Pharmacy, Llc is 4477 E Paris Ave Se, Kentwood, MI and can be reached out via phone at 616-214-8011 and via fax at 616-554-9581.

Location: 4477 E Paris Ave Se, Kentwood, MI, 49512-5312
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1538405774
Provider Name
Ltc Pharmacy, Llc
Credential
Provider Entity Type
Organization
Address
4477 E Paris Ave Se, Kentwood, MI, 49512-5312
Phone Number
616-214-8011
Fax Number
616-554-9581
Provider Enumeration Date
12/17/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1588963706 05 MI
institution
Provider Business Practice Location Address Details
Address
4477 E Paris Ave Se
City
Kentwood
State
Michigan
Zip
49512-5312
Phone Number
616-214-8011
Fax Number
616-554-9581
person
Provider Business Mailing Address Details
Address
4477 E Paris Ave Se
City
Kentwood
State
Michigan
Zip
49512-5312
Phone Number
616-214-8011
Fax Number
616-554-9581
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
5301009544 (Michigan)
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
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