Organization
MCLAREN HEALTH MANAGEMENT GROUP
Active
Organization
MCLAREN HEALTH MANAGEMENT GROUP
Active
Other names
McLaren Home Infusion, MCLAREN MEDICAL SUPPLIES
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN DALE LOY (VP - CFO)
(810) 496-8633
Entity
Organization
Contact information
Practice address
1515 CAL DR, DAVISON, MI 48423-9016
(810) 496-8850
(810) 496-8655
Mailing address
PO BOX 775440, CHICAGO, IL 60677-5440
(810) 496-8850
(810) 496-8655
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
—
—
333600000X
Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
Primary
5301006256
MI
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2042741
PK
—
05
—
2354431
—
MI
Enumeration date
03/15/2007
Last updated
11/13/2023
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