Trinity Health Pharmacy - Cathedral Square
LBN: Saint Marys Family Pharmacy
Trinity Health Pharmacy - Cathedral Square is an health care organization with primary practice located at 360 Division Ave S Ste 1A, Grand Rapids MI 49503-4501. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Saint Marys Family Pharmacy can be contacted via phone (616) 685-1147, or through Casalou, Robert via phone (734) 712-3792.
Contact Information
Primary practice address
360 Division Ave S Ste 1A
Grand Rapids MI 49503-4501
Phone: (616) 685-1147
Fax: (616) 685-1145
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 5301004226 | Michigan |
Profile Details
| NPI number | 1679519581 |
|---|---|
| LBN Legal business name | Saint Marys Family Pharmacy |
| DBA Doing business as | Trinity Health Pharmacy - Cathedral Square |
| Authorized official | Casalou, Robert |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 20th, 2006 |
| Last updated | Sep 26th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679519581 | NPPES |
| Other | 2045998 | PK | |
| MEDICAID | 1679519581 | PK | |
| MEDICAID | 4825146 | PK |
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