Healthcare Provider Details

I. General information

NPI: 1497724751
Provider Name (Legal Business Name): TERESA MARIE BAILEY PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/17/2006
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 OAKLAND DR
KALAMAZOO MI
49008-1282
US

IV. Provider business mailing address

7507 MAC ARTHUR LN
PORTAGE MI
49024-7893
US

V. Phone/Fax

Practice location:
  • Phone: 269-352-7781
  • Fax:
Mailing address:
  • Phone: 269-337-6423
  • Fax: 269-337-4474

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number5302027741
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: