Organization
SPECTRUM HEALTH HOSPITALS
Active
Other names
Corewell Health Grand Rapids Hospitals Retail Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
HARDIK DALAL (SVP, FINANCE)
(616) 486-6790
Entity
Organization
Contact information
Practice address
100 MICHIGAN ST NE, GRAND RAPIDS, MI 49503-2560
(616) 391-0567
(616) 391-1083
Mailing address
100 MICHIGAN ST NE, GRAND RAPIDS, MI 49503-2560
(616) 391-9267
(616) 391-9430
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301003540
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2040047
PK
—
05
—
2342210
—
MI
Enumeration date
03/15/2007
Last updated
07/16/2024
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