# RED CROWN CLINIC PHARMACY, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437336989
- **Authorized official:** MR. ERIC M GRAHAM RPH (PRESIDENT)
- **Authorized official phone:** (269) 321-4800

## Contact information

- **Practice address:** 4206 STADIUM DR, SUITE-2, KALAMAZOO, MI 49008-1446
- **Practice address phone:** (269) 321-4800
- **Practice address fax:** (269) 321-4801
- **Mailing address:** 4206 STADIUM DR, SUITE-2, KALAMAZOO, MI 49008-1446
- **Mailing address phone:** (269) 321-4800
- **Mailing address fax:** (269) 321-4801

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0004X | Compounding Pharmacy | 5301008820 | MI | — |
| 3336L0003X | Long Term Care Pharmacy | 5301008820 | MI | Yes |
| 3336S0011X | Specialty Pharmacy | 5301008820 | MI | — |

## Other

- **Enumeration date:** 01/28/2008
- **Last updated:** 03/18/2008