GUARDIAN PHARMACY OF GRAND RAPIDS LLC NPI 1558073056

NPI Information

NPI: 1558073056
Provider Name: GUARDIAN PHARMACY OF GRAND RAPIDS, LLC
Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

Address:
10381 CITATION DR STE 500
BRIGHTON, MI
ZIP 48116
Phone: (810) 626-5880
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GUARDIAN PHARMACY OF GRAND RAPIDS, LLC is a long term care pharmacy pharmacy in Brighton, 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. GUARDIAN PHARMACY OF GRAND RAPIDS, LLC NPI is 1558073056. The provider is registered as an organization entity type.

The provider's business location address is:

10381 CITATION DR STE 500
BRIGHTON, MI
ZIP 48116-527
Phone: (810) 626-5880
Fax: (810) 626-5881

The provider's authorized official is Nathan Stauffer .
The authorized official title is President/owner and has the following contact phone number (616) 446-4018.

The enumeration date for this NPI number is 12/16/2022 and was last updated on 12/16/2022.

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
1	3336C0004X	Pharmacy	Compounding Pharmacy			No
2	3336L0003X	Pharmacy	Long Term Care Pharmacy			Yes

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
1	5301013032	OTHER	MICHIGAN	MI BOP LICENSE

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

NPI Synchronization or Removal

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