Organization
SPECTRUM HEALTH HOSPITALS
Active
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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