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Organization
MUNSON HEALTHCARE GRAYLING HOSPITAL PHARMACY
Active
Organization
MUNSON HEALTHCARE GRAYLING HOSPITAL PHARMACY
Active
Other names
Munson Healthcare Grayling Hospital Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN LARAIA (VP, ANCILLARY SERVICES)
(231) 392-8410
Entity
Organization
Contact information
Practice address
1100 E MICHIGAN AVE, GRAYLING, MI 49738-1312
(989) 348-0800
(989) 348-0462
Mailing address
1100 E MICHIGAN AVE, GRAYLING, MI 49738-1312
(989) 348-0800
(989) 348-0462
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
—
NULL
3336I0012X
Institutional Pharmacy
Primary
5301010626
MI
3336L0003X
Long Term Care Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2151931
PK
—
Enumeration date
10/13/2006
Last updated
12/29/2023
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