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DIVINICARE LLC NPI 1114345907


NPI Information

NPI: 1114345907
Provider Name: DIVINICARE LLC

Doing Business As: DIVINICARE

Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

Address:
868 MICHIGAN AVE STE A
BALDWIN, MI
ZIP 49304
Phone: (231) 745-4697
Get Directions

DIVINICARE LLC is a long term care pharmacy pharmacy in Baldwin, MI. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. DIVINICARE LLC NPI is 1114345907. The provider is registered as an organization entity type.
The provider Is Doing Business As Divinicare.

The provider's business location address is:

868 MICHIGAN AVE STE A
BALDWIN, MI
ZIP 49304-123
Phone: (231) 745-4697
Fax: (231) 745-8640

The provider's authorized official is Matthew Krawczak .
The authorized official title is Rph/owner and has the following contact phone number (231) 745-4697.

The enumeration date for this NPI number is 3/31/2014 and was last updated on 6/10/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13336L0003XPharmacyLong Term Care Pharmacy5301010379MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12146577OTHERPK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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