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MERCY MEMORIAL MACOMB PHARMACY NPI 1659314409


NPI Information

NPI: 1659314409
Provider Name: MERCY MEMORIAL MACOMB PHARMACY

Doing Business As: MERCY MEMORIAL MACOMB PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
730 N MACOMB ST STE 305
MONROE, MI
ZIP 48162
Phone: (734) 240-4100
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MERCY MEMORIAL MACOMB PHARMACY is a community/retail pharmacy pharmacy in Monroe, MI. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. MERCY MEMORIAL MACOMB PHARMACY NPI is 1659314409. The provider is registered as an organization entity type.
The provider Is Doing Business As Mercy Memorial Macomb Pharmacy.

The provider's business location address is:

730 N MACOMB ST STE 305
MONROE, MI
ZIP 48162-904
Phone: (734) 240-4100
Fax: (734) 240-4110

The provider's authorized official is Jennifer Sell .
The authorized official title is Director and has the following contact phone number (734) 240-5295.

The enumeration date for this NPI number is 6/13/2006 and was last updated on 7/19/2018.


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
1333600000XPharmacyNo
23336C0003XPharmacyCommunity/Retail Pharmacy5301005703MICHIGANYes

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
12041430OTHERPK
223497832825862MEDICAIDMICHIGAN

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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