Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Midtowne Pharmacy

Organization Community/Retail Pharmacy · NPI 1700102993

Midtowne Pharmacy is a Community/Retail Pharmacy in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2010.

Licensed in
MI
In the registry since
2010

Practice location Address checks out

555 Midtowne St NE Ste 103
Grand Rapids, MI 49503-5729
Phone: (616) 554-1964
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence 5301009298 (MI)

Record details

NPI number1700102993
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kim Mulder — Ceo · (616) 827-9100
NPI enumeratedApril 13, 2010
Last updated in NPPESJuly 30, 2010
Mailing address555 Midtowne St Ne, Suite 103, Grand Rapids, MI 49503-5729

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