# GUARDIAN PHARMACY OF GRAND RAPIDS, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** GUARDIAN PHARMACY OF MICHIGAN
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225688229
- **Authorized official:** NATHAN STAUFFER (VICE PRESIDENT)
- **Authorized official phone:** (616) 965-7480

## Contact information

- **Practice address:** 2930 29TH ST SE, GRAND RAPIDS, MI 49512-1723
- **Practice address phone:** (616) 965-7480
- **Practice address fax:** (616) 974-8205
- **Mailing address:** P. O. BOX 11407, DEPT \# 8130, BIRMINGHAM, AL 35246-8130
- **Mailing address phone:** (404) 389-1383
- **Mailing address fax:** (404) 389-1384

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 09/12/2019
- **Last updated:** 01/28/2020