Organization
SPECTRUM HEALTH HOSPITALS
Active
Parent organization
SPECTRUM HEALTH HOSPITALS
Other names
Corewell Health Grand Rapids Hospitals Retail Pharmacy - HTC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SPECTRUM HEALTH HOSPITALS
Authorized official
HARDIK DALAL (SVP. FINANCE)
(616) 486-6790
Entity
Organization
Contact information
Practice address
100 MICHIGAN ST NE, GRAND RAPIDS, MI 49503-2560
(616) 391-1638
(616) 391-2958
Mailing address
100 MICHIGAN ST NE, GRAND RAPIDS, MI 49503-2560
(616) 391-0567
(616) 391-1083
Taxonomy
Speciality
Code
Description
License number
State
3336S0011X
Specialty Pharmacy
Primary
5301003540
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2143047
PK
—
Enumeration date
04/18/2013
Last updated
07/16/2024
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