# HEALTHSOURCE SAGINAW, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** HEALTHSOURCE SAGINAW
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790811123
- **Authorized official:** SONJA MARTINEZ (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (989) 790-7790

## Contact information

- **Practice address:** 3340 HOSPITAL RD, SAGINAW, MI 48603-9622
- **Practice address phone:** (989) 790-7729
- **Practice address fax:** (989) 790-7723
- **Mailing address:** 3340 HOSPITAL RD, SAGINAW, MI 48603-9622
- **Mailing address phone:** (989) 790-7729
- **Mailing address fax:** (989) 790-7723

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | 5301001791 | MI | Yes |

## Other

- **Enumeration date:** 02/27/2007
- **Last updated:** 11/21/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2041773 | PK | — |
| 05 | — | 2324541 | — | MI |
| 05 | — | 2805206 | — | MI |