Organization
ST MARYS FAMILY PHCY SUNSET
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN MIRON RPH (MANAGER)
(616) 913-1115
Entity
Organization
Contact information
Practice address
725 BALDWIN ST, JENISON, MI 49428-7945
(616) 457-7281
(616) 457-7704
Mailing address
725 BALDWIN ST, JENISON, MI 49428-7945
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
5301006892
MI
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2352689
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
4111536
—
MI
Enumeration date
06/11/2006
Last updated
09/11/2025
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