Organization
HEALTHSOURCE SAGINAW, INC.
Active
Other names
HEALTHSOURCE SAGINAW
Organization subpart
No
Provider details
NPI number
Authorized official
SONJA MARTINEZ (CHIEF FINANCIAL OFFICER)
(989) 790-7790
Entity
Organization
Contact information
Practice address
3340 HOSPITAL RD, SAGINAW, MI 48603-9622
(989) 790-7729
(989) 790-7723
Mailing address
3340 HOSPITAL RD, SAGINAW, MI 48603-9622
(989) 790-7729
(989) 790-7723
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
5301001791
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2041773
PK
—
05
—
2324541
—
MI
05
—
2805206
—
MI
Enumeration date
02/27/2007
Last updated
11/21/2023
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