Organization
TRINITY HEALTH - MICHIGAN
Active
Organization
TRINITY HEALTH - MICHIGAN
Active
Parent organization
TRINITY HEALTH - MICHIGAN
Other names
Trinity Health Pharmacy - Hudsonville, Mercy Health Pharmacy-Hudsonville
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
3925 32ND AVE STE 200, HUDSONVILLE, MI 49426-8460
(616) 685-1540
(616) 685-1545
Mailing address
360 DIVISION AVE S STE 1E, GRAND RAPIDS, MI 49503-4501
(616) 685-1089
(616) 685-1093
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1700351657
—
MI
Enumeration date
10/08/2018
Last updated
09/26/2022
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