Organization
SPECTRUM HEALTH HOSPITALS
Active
Organization
SPECTRUM HEALTH HOSPITALS
Active
Other names
Spectrum Health Pharmacy at 35 Michigan Street
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN FOSTER (DIRECTOR OF PHARMACY)
(616) 391-3028
Entity
Organization
Contact information
Practice address
35 MICHIGAN ST NE, GRAND RAPIDS, MI 49503-2514
(616) 267-2950
(616) 267-2951
Mailing address
35 MICHIGAN ST NE, GRAND RAPIDS, MI 49503-2514
(616) 267-2950
(616) 267-2951
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301009623
MI
3336C0004X
Compounding Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2130971
PK
—
Enumeration date
06/28/2011
Last updated
07/24/2013
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