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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