Divinicare Llc, NPI 1114345907
Long Term Care Pharmacy in Baldwin, MI, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1114345907
NPI Entity Type Organization
Provider Name Divinicare Llc
Doing Business As
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 868 Michigan Ave Ste A, Baldwin, MI, US
Provider Mailing Address Po Box 310, Suite A, Baldwin, MI, US, 493040310
Is Sole Proprietor? No
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Organization Official

Official Name Matthew Krawczak
Official Position RPH/OWNER
Phone 231-745-4697

Primary Taxonomy

Taxonomy Code

3336L0003X

Taxonomy Name Long Term Care Pharmacy
Classification

Pharmacy

Group

Suppliers

License No. 5301010379
License State MI
Description 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.

Other Organization Name

DIVINICARE
Doing Business As

Business Address

Divinicare Llc
868 Michigan Ave Ste A

Baldwin, MI, US

Phone: 231-745-4697
Fax: 231-745-8640

Mailing Address

Divinicare Llc
Po Box 310
Suite A
Baldwin, MI, US
ZIP 493040310
Phone: 231-745-4697
Fax: 231-745-8640

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