Organization
SPECTRUM HEALTH CONTINUING CARE
Active
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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