Organization
GUARDIAN PHARMACY OF GRAND RAPIDS, LLC
Active
Other names
GUARDIAN PHARMACY OF MICHIGAN
Organization subpart
No
Provider details
NPI number
Authorized official
NATHAN STAUFFER (VICE PRESIDENT)
(616) 965-7480
Entity
Organization
Contact information
Practice address
2930 29TH ST SE, GRAND RAPIDS, MI 49512-1723
(616) 965-7480
(616) 974-8205
Mailing address
P. O. BOX 11407, DEPT # 8130, BIRMINGHAM, AL 35246-8130
(404) 389-1383
(404) 389-1384
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
09/12/2019
Last updated
01/28/2020
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