Organization
KALAMAZOO LONG TERM CARE LLC
Active
Other names
KALAMAZOO LONG TERM CARE
Organization subpart
No
Provider details
NPI number
Authorized official
ERIK NELSON RPH (OWNER)
(269) 388-4850
Entity
Organization
Contact information
Practice address
1000 S BURDICK ST, KALAMAZOO, MI 49001-2734
(269) 388-4850
(269) 388-4870
Mailing address
PO BOX 87, RICHLAND, MI 49083-0087
(269) 388-4850
(269) 388-4870
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
5301008411
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2368505
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
08/02/2006
Last updated
02/07/2013
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