Healthcare Provider Details

I. General information

NPI: 1205908092
Provider Name (Legal Business Name): TRINITY HEALTH - MICHIGAN
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/15/2006
Last Update Date: 04/16/2026
Certification Date: 04/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7575 GRAND RIVER RD STE 109
BRIGHTON MI
48114-7389
US

IV. Provider business mailing address

7575 GRAND RIVER RD STE 109
BRIGHTON MI
48114-7389
US

V. Phone/Fax

Practice location:
  • Phone: 810-844-7777
  • Fax: 734-477-8686
Mailing address:
  • Phone: 810-844-7777
  • Fax: 734-477-8686

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number5301007585
License Number StateMI

VIII. Authorized Official

Name: MATTHEW F. NAVARRE
Title or Position: REGIONAL MANAGER RETAIL PHARMACY
Credential: PHARMD
Phone: 734-712-7796