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Blue Bridge Specialty Pharmacy, LLC — NPI 1225920168, Grand Rapids, MI | NPI Central

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NPI 1225920168

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Blue Bridge Specialty Pharmacy, LLC

NPI 1225920168 · Home Infusion Therapy Pharmacy · Grand Rapids, MI

Provider details

NPI number: 1225920168
Entity type: Organization
Primary specialty: Home Infusion Therapy PharmacySuppliers
Organization subpart: No
Authorized official: Max Bloomquist, Owner(616) 280-4211

Specialties & taxonomies

Home Infusion Therapy PharmacyPrimary3336H0001X
Suppliers
Home Infusion Agency251F00000X
Agencies
Durable Medical Equipment & Medical Supplies332B00000X
Suppliers
Parenteral & Enteral Nutrition Supplies (DME)332BP3500X
Suppliers
Pharmacy333600000X
Suppliers
Compounding Pharmacy3336C0004X
Suppliers

Practice location

630 Kenmoor Ave Se Ste 102

Grand Rapids, MI 49546-8626

Phone: (616) 280-4211

Fax: (616) 280-4214

Approximate (ZIP-level) locationGet directions

More MI providers

Mailing address

630 Kenmoor Ave Se Ste 102

Grand Rapids, MI 49546-8626

Other names (DBA / former)

Doing business as: Vital Care of Grand Rapids

Registry dates

Enumerated: 2025-07-16
Last updated: 2025-07-18
Certified: 2025-07-18

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.