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Organization

SPECTRUM HEALTH CONTINUING CARE

Active
Other names
SPECTRUM HEALTH INFUSION PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
MARK GUZICKI RN (VP, COMM. & HOME BASED SERVICE)
(616) 486-3955
Entity
Organization

Contact information

Practice address
1255 MICHIGAN ST NE, GRAND RAPIDS, MI 49503-2001
(616) 486-3950
(616) 486-3940
Mailing address
1255 MICHIGAN ST NE, GRAND RAPIDS, MI 49503-2001
(616) 486-3950
(616) 486-3940

Taxonomy

Speciality
Code
Description
License number
State
3336H0001X
Home Infusion Therapy Pharmacy
Primary
5301008849
MI
3336S0011X
Specialty Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2371045
NCPDP PROVIDER IDENTIFICATION NUMBER
Enumeration date
04/22/2008
Last updated
10/19/2012
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