Organization
DIPLOMAT SPECIALTY PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY ROWE (SR VP OPERATIONS)
(810) 768-9819
Entity
Organization
Contact information
Practice address
214 FULTON ST E, SUITE 102, GRAND RAPIDS, MI 49503-3211
(616) 301-8200
Mailing address
214 FULTON ST E, SUITE 102, GRAND RAPIDS, MI 49503-3211
(616) 301-8200
Taxonomy
Speciality
Code
Description
License number
State
3336M0002X
Mail Order Pharmacy
Primary
5301008115
MI
Other
Enumeration date
02/01/2007
Last updated
05/17/2011
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