Organization
AMBULATORY INFUSION CARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES HERMAN HORTON II RPH, JD (PHARMACY DIRECTOR/AUTHORIZED AGENT)
(989) 621-1534
Entity
Organization
Contact information
Practice address
920 INDUSTRIAL AVE, MOUNT PLEASANT, MI 48858-4648
(989) 772-7770
(989) 772-7490
Mailing address
121 E BROADWAY ST, SUITE C, MT PLEASANT, MI 48858-2360
(989) 773-4879
(989) 772-7490
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
5301005525
MI
3336H0001X
Home Infusion Therapy Pharmacy
Primary
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2640581
—
MI
01
—
OC700010
BCBSM HIT
MI
01
—
OC700010
BCBSMHIT
—
01
—
OC70260
BSBCM
MI
Enumeration date
11/04/2005
Last updated
06/07/2016
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