Organization
KENTWOOD PHARMACY
Active
Other names
Kentwood Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA MALINOWSKI (CONTROLLER)
(616) 827-9100
Entity
Organization
Contact information
Practice address
257 W WRIGHT AVE, SHEPHERD, MI 48883-2502
(616) 827-9100
Mailing address
2480 44TH ST SE, KENTWOOD, MI 49512-9090
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
5301008951
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2372251
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
08/18/2008
Last updated
09/02/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us