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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