Organization
AMBULATORY INFUSION CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY LAMAR MCCARTHY PHARM D (OWNER)
(989) 773-4879
Entity
Organization
Contact information
Practice address
920 INDUSTRIAL PARK DR, MOUNT PLEASANT, MI 48858
(989) 772-7770
(989) 772-7490
Mailing address
121 E. BROADWAY #C, MOUNT PLEASASNT, MI 48858
(989) 773-4879
(989) 773-5233
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
5301005525
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2640581
—
MI
01
—
OC70260
BCBSM
MI
Enumeration date
08/01/2005
Last updated
11/02/2007
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