Organization Name: | EDWARD W. SPARROW HOSPITAL ASSOCIATION |
NPI Number: | 1750464780 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RONALD MELARAGNI (ADMINISTRATIVE DIRECTOR) |
Mailing Address: | 1015 Charlevoix Dr Grand Ledge |
State: | MI US |
Postal Code: | 488372278 |
Phone Number: | 5176271670 |
Fax Number: | 5176270068 |
NPI Enumeration Date: | 10/23/2006 |
NPI Last Update Date: | 06/10/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3336C0004X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Pharmacy |
Taxonomy Specialization: | Compounding Pharmacy |
Taxonomy Definition: | A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner |