Guardian Pharmacy Of Grand Rapids, Llc

LBN: Guardian Pharmacy Of Grand Rapids, Llc
Guardian Pharmacy Of Grand Rapids, Llc is an health care organization with primary practice located at 10381 Citation Dr Ste 500 , Brighton MI 48116-6527. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Compounding Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Guardian Pharmacy Of Grand Rapids, Llc can be contacted via phone (810) 626-5880, or through Stauffer, Nathan via phone (616) 446-4018.

Contact Information

Primary practice address
10381 Citation Dr Ste 500 Brighton MI 48116-6527
Phone: (810) 626-5880
Fax: (810) 626-5881
Website:
Map and Directions
Authorized official contact:
Name: Stauffer, Nathan
Phone: (616) 446-4018

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Compounding Pharmacy 3336C0004X
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1558073056
LBN Legal business name Guardian Pharmacy Of Grand Rapids, Llc
DBA Doing business as
Authorized official Stauffer, Nathan
Entity Organization
Organization subpart 1 No
Enumeration date Dec 16th, 2022
Last updated Dec 16th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558073056 NPPES
Michigan Other 5301013032 MI BOP LICENSE

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