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Mitchell Cavanaugh
Ambulatory Care Pharmacist in Walker, Michigan
NPI 1932667144

Mitchell Cavanaugh is an Ambulatory Care Pharmacist based in Grand Rapids, MI and is specialized in Ambulatory Care. Mitchell Cavanaugh practices in Walker, MI. The NPI Number for Mitchell Cavanaugh is 1932667144 and holds a License No. 5351013221 (Michigan).

The current practice location address for Mitchell Cavanaugh is 1175 Wilson Ave Nw, Walker, MI and can be reached out via phone at 616-685-8650.

Location: 1175 Wilson Ave Nw, Walker, MI, 49503-4502
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1932667144
Provider Name
Mitchell Cavanaugh
Credential
Provider Entity Type
Individual
Gender
Male
Address
1175 Wilson Ave Nw, Walker, MI, 49503-4502
Phone Number
616-685-8650
Fax Number
Provider Enumeration Date
03/06/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5302412556 01 MI PHARMACIST LICENSE
5315219725 01 MI CONTROLLED SUBSTANCE LICENSE
institution
Provider Business Practice Location Address Details
Address
1175 Wilson Ave Nw
City
Walker
State
Michigan
Zip
49534-6407
Phone Number
616-685-8650
Fax Number
person
Provider Business Mailing Address Details
Address
1175 Wilson Ave Nw
City
Walker
State
Michigan
Zip
49534-6407
Phone Number
616-685-8650
Fax Number
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
Ambulatory Care
Taxonomy
1835P2201X
License No.
5302412556 (Michigan)
Definition
A licensed pharmacist who has demonstrated specialized knowledge and skill in the provision of integrated, accessible health care services by pharmacists and is accountable for addressing medication needs, developing sustained partnerships with patients, and practicing in the context of family and community.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
5351013221 (Michigan)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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