Organization
SANUS SPECIALTY PHARMACY LLC
Active
Other names
Sanus Specialty Pharmacy LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA JEHNSEN (OFFICE MANAGER)
(269) 350-2504
Entity
Organization
Contact information
Practice address
2401 GULL RD, KALAMAZOO, MI 49048-1491
(269) 775-7450
Mailing address
PO BOX 22, NAZARETH, MI 49074-0022
(269) 775-7450
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
5301010982
MI
3336S0011X
Specialty Pharmacy
5301010982
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2160279
PK
—
Enumeration date
07/27/2016
Last updated
05/04/2017
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