Provider Demographics
NPI:1861285843
Name:KEELER, JUSTIN MICHAEL (PHARMD)
Entity type:Individual
Prefix:DR
First Name:JUSTIN
Middle Name:MICHAEL
Last Name:KEELER
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:9463 LOOKING GLASS BROOK DR
Mailing Address - Street 2:
Mailing Address - City:GRAND LEDGE
Mailing Address - State:MI
Mailing Address - Zip Code:48837-9267
Mailing Address - Country:US
Mailing Address - Phone:517-331-2770
Mailing Address - Fax:989-227-3409
Practice Address - Street 1:901 S OAKLAND ST
Practice Address - Street 2:
Practice Address - City:SAINT JOHNS
Practice Address - State:MI
Practice Address - Zip Code:48879-2255
Practice Address - Country:US
Practice Address - Phone:989-224-8155
Practice Address - Fax:989-227-3409
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-23
Last Update Date:2025-05-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI5302035521183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist