Organization
TRINITY HEALTH - MICHIGAN
Active
Parent organization
TRINITY HEALTH - MICHIGAN
Other names
Trinity Health Pharmacy - Roosevelt Park
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
730 CESAR E CHAVEZ AVE SW STE 200, GRAND RAPIDS, MI 49503-4920
(616) 685-7300
(616) 685-7309
Mailing address
730 CESAR E CHAVEZ AVE SW STE 200, GRAND RAPIDS, MI 49503-4920
(616) 685-7300
(616) 685-7309
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
12/14/2022
Last updated
12/14/2022
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