MEDICARE: CENTRAL PHARMACY MT HOPE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	333600000X	Pharmacy
2	3336C0003X	Community/Retail Pharmacy	5301010169	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2141865	OTHER		PK
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1164856936
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CENTRAL PHARMACY MT HOPE LLC

Provider Business Mailing Address
First Line	:	1001 E MOUNT HOPE AVE
Second Line	:
City	:	LANSING
State	:	MI
Zip	:	48910-1822
Country	:	US
Telephone Number	:	517-316-0711
Fax Number	:	517-316-0714

Provider Business Practice Location Address
First Line	:	1001 E MOUNT HOPE AVE
Second Line	:
City	:	LANSING
State	:	MI
Zip	:	48910-1822
Country	:	US
Telephone Number	:	517-316-0711
Fax Number	:	517-316-0714

Authorized Official
Title or Position	:	CO-OWNER/PIC
Name	:	MICHAEL SALQUIST
Credential	:	RPH
Telephone Number	:	517-404-5178

Provider Enumeration Date	:	08/28/2013
Last Update Date	:	07/07/2016

Similar Medicare Providers

1366420432 — MR. JOSEPH S. KOZLOWSKI JR. D.O.
Practice Location Address:

1003 E MOUNT HOPE AVE
LANSING, MI
48910-1822

Practice Phone: 517-853-3704
Practice Fax: 517-853-3701

1134236268 — DR. ANTHONY JON MEIER MD
Practice Location Address:

1003 E MOUNT HOPE AVE
LANSING, MI
48910-1822

Practice Phone: 517-853-3704
Practice Fax: 885-480-9150

1457882201 — ERIK GEORGE NEISER PHARM.D.
Practice Location Address:

1001 E MOUNT HOPE AVE
LANSING, MI
48910-1822

Practice Phone: 517-316-0711
Practice Fax:

1871175638 — ADAM MATTHEW FARNUM NP
Practice Location Address:

1003 E MOUNT HOPE AVE
LANSING, MI
48910-1822

Practice Phone: 517-853-3704
Practice Fax: 855-501-6733

1841919057 — CATTLEYA NERY NP
Practice Location Address:

1003 E MOUNT HOPE AVE
LANSING, MI
48910-1822

Practice Phone: 517-853-3704
Practice Fax: 855-501-6733

1588643134 — DR. MARC P MALLORY D.D.S., PLLC
Practice Location Address:

107 E. WASHTENAW
LANSING, MI
48933-1822

Practice Phone: 517-487-5666
Practice Fax: 517-267-0938

Directions to “CENTRAL PHARMACY MT HOPE LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.