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State Street Pharmacy Ltc

State Street Pharmacy Ltc is a healthcare organization registered as Long Term Care Pharmacy in Caro, MI, holding Type 2 (organization) NPI 1588422158 since 2024. The authorized official on file is Adam Zovishlack, President/Owner.

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NPI 1588422158
Entity type Organization (Type 2)
Legal business name State Street Pharmacy Ltc
Other name <Unavail>
Parent organization State Street Pharmacy and Wellness Center Inc
Practice address 192 N STATE ST, Caro, MI, 48723
Phone 9896723500
Fax 9896723555
Enumeration date 2024-03-08
Last updated in NPPES 2024-03-08

Authorized official

Name Adam Zovishlack
Title President/Owner
Phone 9896723500

Taxonomy & classification

Taxonomy code Specialty Primary License State
3336L0003X Long Term Care Pharmacy Primary
Copy-ready billing details
Provider: State Street Pharmacy Ltc
NPI: 1588422158
Taxonomy: 3336L0003X (Long Term Care Pharmacy)
Address: 192 N STATE ST, Caro, MI, 48723

Providers at this address

NPI Name Type Specialty Location
1124137740 State Street Pharmacy & Wellness Center Inc Organization Community/Retail Pharmacy Caro, MI
1063655785 Adam Zovishlack Individual Pharmacist Caro, MI
1609125392 Randall Beck Individual Pharmacist Caro, MI

Verify this record

Cross-check NPI 1588422158 against the authoritative CMS record: view State Street Pharmacy Ltc on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

Where is State Street Pharmacy Ltc located?
The practice location on file with NPPES is in Caro, MI.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2024-03-08. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2024-03-08.