Organization
TRINITY HEALTH-MICHIGAN
Active
Other names
Mercy Health Pharmacy Solutions, Trinity Health Pharmacy Solutions - Grand Rapids
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT CASALOU (PRESIDENT/CEO)
(734) 712-3792
Entity
Organization
Contact information
Practice address
360 DIVISION AVE S STE 1E, GRAND RAPIDS, MI 49503-4501
(616) 685-1080
Mailing address
360 DIVISION AVE S STE 1E, GRAND RAPIDS, MI 49503-4501
(616) 685-1080
(616) 685-1090
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336S0011X
Specialty Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1700321551
—
MI
01
—
5301011112
PHARMACY LICENSE
MI
Enumeration date
12/02/2022
Last updated
12/02/2022
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