Organization
STATE OF MICHIGAN
Active
Other names
Michigan Home for Veterans Grand Rapids, Grand Rapids Home for Veterans
Organization subpart
No
Provider details
NPI number
Authorized official
LOUIS CIARAMELLO III PHARMD (DIRECTOR)
(616) 364-5355
Entity
Organization
Contact information
Practice address
2950 MONROE AVE NE, GRAND RAPIDS, MI 49505-3300
(616) 364-5355
(517) 275-7144
Mailing address
2950 MONROE AVE NE, GRAND RAPIDS, MI 49505-3300
(616) 364-5355
(517) 275-7144
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
5301000666
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2353631
NABP NUMBER
MI
01
—
5301000666
PHARMACY ID NUMBER
MI
Enumeration date
09/08/2006
Last updated
02/04/2026
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