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Contact Information

ZUAH PHARMACY WELLNESS CLINIC LLC
4301 KALAMAZOO AVE SE STE 13
GRAND RAPIDS, MI49508-3673
 Phone: 616-259-9314
 Fax: 616-226-6722
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinic Pharmacy

3336C0002X 58 Medical Supply Company with Pharmacist
 

Community Health

261QC1500X
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Health & Wellness Coach

171400000X
 

Health Service

261QH0100X
Indicates primary specialty

NPI Profile & details for ZUAH PHARMACY WELLNESS CLINIC LLC

NPI Number 1427877364
LBN Legal business name ZUAH PHARMACY WELLNESS CLINIC LLC
Authorized official ROBERTSON ZUAH - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/08/2024
Last updated 10/08/2024 - More than a year ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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