Organization
BLUE CARE NETWORK PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY JONAS PHARMD (PHARMACY MANAGER)
(517) 336-5636
Entity
Organization
Contact information
Practice address
1525 W. LAKE LANSING, EAST LANSING, MI 48823
(517) 336-5636
(517) 336-5638
Mailing address
1525 W. LAKE LANSING, EAST LANSING, MI 48823
(517) 336-5636
(517) 336-5638
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301004196
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1653262
—
MI
01
—
2338932
NABP
MI
Enumeration date
10/04/2006
Last updated
08/22/2020
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