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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

STATE OF MICHIGAN

Active Organization

STATE OF MICHIGAN is a Retail Pharmacy organization located in GRAND RAPIDS, Michigan. NPI 1093819229 is currently active in the NPPES registry. Verify at CMS.

Retail Pharmacy · GRAND RAPIDS, MI

Registration Details

NPI Number
1093819229
Provider Type
Organization
NPI Issued
Sep 8, 2006 (19.960015108614 yrs)
Last Updated
Feb 4, 2026
License
5301000666 (MI)

Practice Information

Address
2950 MONROE AVE NE
GRAND RAPIDS, MI, 495053300
Browse MI providers · Browse ZIP 49505
Phone
6163645355
Fax
5172757144
Primary Specialty
Retail Pharmacy
3336L0003X

Other Retail Pharmacy Organizations in GRAND RAPIDS, MI

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.