| Organization Name: | SPECIALIZED PHARMACY SERVICES, LLC |
| NPI Number: | 1093818122 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SUSAN COLBERT (SR DIRECTOR, PAYER RELATIONS) |
| Mailing Address: | 522 E Houghton Ave Suite 102 West Branch |
| State: | MI US |
| Postal Code: | 486611132 |
| Phone Number: | 9893452297 |
| Fax Number: | 8004808540 |
| NPI Enumeration Date: | 09/06/2006 |
| NPI Last Update Date: | 11/17/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BP3500X |
| License Number: | 5301004852 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MI |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Parenteral & Enteral Nutrition |
| Taxonomy Definition: | |