Organization
PCA-CORRECTIONS LLC
Active
Other names
Synchrony Grand Rapids Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
CRISTINA PIETROWSKI (EVP, CHIEF LEGAL OFFICER & SECRETAR)
(502) 412-5847
Entity
Organization
Contact information
Practice address
4665 44TH ST SE STE A1106, GRAND RAPIDS, MI 49512-4052
(616) 977-9700
(616) 855-0937
Mailing address
303 N HURSTBOURNE PKWY STE 200, LOUISVILLE, KY 40222-5158
(800) 445-8917
(800) 445-8918
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
5301009951
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2137979
PK
—
Enumeration date
05/26/2009
Last updated
07/30/2025
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