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Organization
MUSON SERVICES, INC.
Active
Organization
MUSON SERVICES, INC.
Active
Parent organization
MUNSON SERVICES, INC.
Other names
MCHC Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
MUNSON SERVICES, INC.
Authorized official
BRUCE ALBERT AHLICH R.PH. (COORDINATOR-AFFILIATE/AMBULATORY SV)
(231) 935-7265
Entity
Organization
Contact information
Practice address
550 MUNSON AVE, SUITE G-100, TRAVERSE CITY, MI 49686-3580
(231) 935-8730
(231) 935-8741
Mailing address
550 MUNSON AVE, SUITE G-100, TRAVERSE CITY, MI 49686-3580
(231) 935-8730
(231) 935-8741
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
5301006483
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1214120002
—
MI
Enumeration date
02/22/2012
Last updated
02/22/2012
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