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Organization
MCLAREN NORTHERN MICHIGAN
Active
Organization
MCLAREN NORTHERN MICHIGAN
Active
Other names
Northern Michigan Regional Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN PENDLETON RPH (PHARMACY MANAGER)
(231) 487-4843
Entity
Organization
Contact information
Practice address
416 CONNABLE AVE, PETOSKEY, MI 49770-2212
(231) 487-4843
(231) 487-4817
Mailing address
416 CONNABLE AVE, PETOSKEY, MI 49770-2212
(231) 487-4843
(231) 487-4817
Taxonomy
Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
Primary
5301002202
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2324349
NCPDP NUMBER
—
05
—
5171539
—
MI
Enumeration date
01/03/2007
Last updated
12/19/2017
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