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Organization
KEYSTONE PHARMACY, INC.
Active
Organization
KEYSTONE PHARMACY, INC.
Active
Parent organization
KEYSTONE PHARMACY, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
KEYSTONE PHARMACY, INC.
Authorized official
DAVID MILLER RPH (OWNER)
(616) 974-9792
Entity
Organization
Contact information
Practice address
4021 CASCADE RD SE, SUITE 50, GRAND RAPIDS, MI 49546
(616) 974-9792
(616) 464-3469
Mailing address
4021 CASCADE RD SE, SUITE 50, GRAND RAPIDS, MI 49546
(616) 974-9792
(616) 464-3469
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
—
NULL
3336L0003X
Long Term Care Pharmacy
Primary
—
NULL
Other
Enumeration date
12/19/2022
Last updated
01/12/2023
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