Organization · Type 2 NPI

Spectrum Health Hospital Hemophilia

Pharmacy · Grand Rapids, MI

NPI number 1336389162 Active

Practice location

100 Michigan St NE
Grand Rapids, MI 49503-2560

Call (616) 391-1774 Map

Mailing address

PO Box 2127
Grand Rapids, MI 49501-2127

Specialties and licenses

Taxonomy	Code	License
Pharmacy Primary	333600000X	5301003540 (MI)
Home Infusion Therapy Pharmacy	3336H0001X	5301003540 (MI)

Pharmacy: A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is lo…

926 other providers at this address

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NPI record

NPI: 1336389162
Entity type: Organization (Type 2)
Issued: Mar 6, 2009
Last updated: Oct 26, 2023
Status: Active
Subpart: Yes of Spectrum Health Hospital

Other names

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SHH Hemophilia (& Pharmacy) · doing business as

Authorized official

Knaus J Ronald
Corporate Controller
(616) 774-7771

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1336389162

Spectrum Health Hospital Hemophilia's National Provider Identifier is 1336389162, issued on Mar 6, 2009. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Grand Rapids, MI. The record was last updated on Oct 26, 2023.