Organization
TRINITY HEALTH-MICHIGAN
Active
Parent organization
TRINITY HEALTH - MICHIGAN
Other names
STJOSEPH MERCY PROFESSIONAL PHARMACY
Organization subpart
Yes
Provider details
NPI number
Legal business name
TRINITY HEALTH - MICHIGAN
Authorized official
MR. ROBERT CASALOU (CEO)
(734) 712-3792
Entity
Organization
Contact information
Practice address
44405 WOODWARD AVE, PONTIAC, MI 48341-5023
(248) 858-3053
(248) 858-3010
Mailing address
44405 WOODWARD AVE, PONTIAC, MI 48341-5023
(248) 858-3059
(248) 858-6031
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301005482
MI
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2347828
NABP/NCPDP#
MI
05
—
2693816
—
MI
01
—
5301005482
MICHIGAN LICENSE #
MI
Enumeration date
09/20/2006
Last updated
03/30/2026
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