Organization
TRINITY HEALTH-MICHIGAN
Active
Parent organization
TRINITY HEALTH - MICHIGAN
Other names
Trinity Health Pharmacy - Rockford, MERCY HEALTH PHARMACY - ROCKFORD
Organization subpart
Yes
Provider details
NPI number
Legal business name
TRINITY HEALTH - MICHIGAN
Authorized official
ROBERT CASALOU (PRESIDENT/CEO)
(734) 712-3792
Entity
Organization
Contact information
Practice address
6050 NORTHLAND DR NE, SUITE 1107, ROCKFORD, MI 49341-9256
(616) 685-7990
(616) 685-7998
Mailing address
6050 NORTHLAND DR NE, SUITE 1107, ROCKFORD, MI 49341-9256
(616) 685-7990
(616) 685-7998
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301010706
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1700260916
—
MI
Enumeration date
07/17/2015
Last updated
09/26/2022
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