<Unavail>

LBN: Blue Bridge Specialty Pharmacy, Llc
<Unavail> is an health care organization with primary practice located at 630 Kenmoor Ave Se Ste 102 , Grand Rapids MI 49546-8626. The organization recently has 6 registered licenses in different health care specialties including Agencies / Home Infusion, Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Parenteral & Enteral Nutrition, Suppliers / Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Home Infusion Therapy Pharmacy. Suppliers / Home Infusion Therapy Pharmacy is the primary health care specialty. Blue Bridge Specialty Pharmacy, Llc can be contacted via phone (616) 280-4211, or through Bloomquist, Max via phone (616) 280-4211.

Contact Information

Primary practice address
630 Kenmoor Ave Se Ste 102 Grand Rapids MI 49546-8626
Phone: (616) 280-4211
Fax: (616) 280-4214
Website:
Map and Directions
Authorized official contact:
Name: Bloomquist, Max
Phone: (616) 280-4211

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Infusion 251F00000X
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Parenteral & Enteral Nutrition 332BP3500X
Suppliers / Pharmacy 333600000X
Suppliers / Compounding Pharmacy 3336C0004X
Suppliers / Home Infusion Therapy Pharmacy 3336H0001X

Profile Details

NPI number 1225920168
LBN Legal business name Blue Bridge Specialty Pharmacy, Llc
DBA Doing business as <Unavail>
Authorized official Bloomquist, Max
Entity Organization
Organization subpart 1 No
Enumeration date Jul 16th, 2025
Last updated Jul 18th, 2025 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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