Organization
TRUCARE LTC, LLC
Active
Other names
Trucare LTC Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL HOLTZ (DIRECTOR OF PHARMACY)
(269) 998-6772
Entity
Organization
Contact information
Practice address
2671 HUFFMAN BLVD, JACKSONVILLE, FL 32246-4056
(616) 965-7480
Mailing address
6140 28TH ST SE STE 105, GRAND RAPIDS, MI 49546-6938
(616) 965-7480
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
5301010899
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2165805
PK
—
Enumeration date
10/28/2016
Last updated
10/28/2016
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up