# PCA-CORRECTIONS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Synchrony Grand Rapids Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083849640
- **Authorized official:** CRISTINA PIETROWSKI (EVP, CHIEF LEGAL OFFICER & SECRETAR)
- **Authorized official phone:** (502) 412-5847

## Contact information

- **Practice address:** 4665 44TH ST SE STE A1106, GRAND RAPIDS, MI 49512-4052
- **Practice address phone:** (616) 977-9700
- **Practice address fax:** (616) 855-0937
- **Mailing address:** 303 N HURSTBOURNE PKWY STE 200, LOUISVILLE, KY 40222-5158
- **Mailing address phone:** (800) 445-8917
- **Mailing address fax:** (800) 445-8918

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | 5301009951 | MI | Yes |

## Other

- **Enumeration date:** 05/26/2009
- **Last updated:** 07/30/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2137979 | PK | — |