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Organization
SANUS SPECIALTY PHARMACY LLC
Active
Organization
SANUS SPECIALTY PHARMACY LLC
Active
Other names
Sanus Specialty Pharmacy LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA JEHNSEN (OFFICE MANAGER)
(269) 350-2504
Entity
Organization
Contact information
Practice address
2401 GULL RD, KALAMAZOO, MI 49048-1491
(269) 775-7450
Mailing address
PO BOX 22, NAZARETH, MI 49074-0022
(269) 775-7450
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336L0003X
Long Term Care Pharmacy
Primary
5301010982
MI
3336S0011X
Specialty Pharmacy
5301010982
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2160279
PK
—
Enumeration date
07/27/2016
Last updated
05/04/2017
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