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NPI Code Detail

MEDICARE: GRACE KATHRYN CARPENTER

MEDICARE: GRACE KATHRYN CARPENTER
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
1183500000XPharmacist5302418198MI

General Provider Information

NPI Number : 1619823812
Entity Type Code : Individual
Provider Name (Legal Business Name) : GRACE KATHRYN CARPENTER
Provider Business Mailing Address
First Line : 2010 E APPLE AVE
Second Line :
City : MUSKEGON
State : MI
Zip : 49442-4348
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2010 E APPLE AVE
Second Line :
City : MUSKEGON
State : MI
Zip : 49442-4348
Country : US
Telephone Number : 231-767-1123
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2026
Last Update Date : 03/09/2026

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Directions to “ GRACE KATHRYN CARPENTER ” Practice Location

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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.

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