Healthcare Provider Details

I. General information

NPI: 1285207977
Provider Name (Legal Business Name): LAUREN STONEROCK PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LAUREN RECHENBACH-CHAPMAN PHARMD

II. Dates (important events)

Enumeration Date: 07/20/2021
Last Update Date: 01/11/2024
Certification Date: 01/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

245 CHERRY ST SE STE 100
GRAND RAPIDS MI
49503-4607
US

IV. Provider business mailing address

200 JEFFERSON AVE SE
GRAND RAPIDS MI
49503-4502
US

V. Phone/Fax

Practice location:
  • Phone: 616-685-3200
  • Fax:
Mailing address:
  • Phone: 616-685-6183
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number125605
License Number StateMN
# 2
Primary TaxonomyN
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License NumberPS62597
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License Number5302415209
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: