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Organization
KALAMAZOO LONG TERM CARE LLC
Active
Organization
KALAMAZOO LONG TERM CARE LLC
Active
Other names
KALAMAZOO LONG TERM CARE
Organization subpart
No
Provider details
NPI number
Authorized official
ERIK NELSON RPH (OWNER)
(269) 388-4850
Entity
Organization
Contact information
Practice address
1000 S BURDICK ST, KALAMAZOO, MI 49001-2734
(269) 388-4850
(269) 388-4870
Mailing address
PO BOX 87, RICHLAND, MI 49083-0087
(269) 388-4850
(269) 388-4870
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
5301008411
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2368505
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
08/02/2006
Last updated
06/15/2026
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