Organization
TCPI ACQUISITION LLC
Active
Other names
Omnicare of Grand Rapids #48278
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (SR DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
3650 BROADMOOR AVE SE, SUITE 108, GRAND RAPIDS, MI 49512-3925
(616) 365-9702
(616) 365-0520
Mailing address
1 CVS DR, BOX 1075, WOONSOCKET, RI 02895-6146
(401) 765-1500
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
5301006563
MI
Other
Enumeration date
09/06/2006
Last updated
11/26/2019
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