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Organization
METROPOLITAN HOSPITAL
Active
Organization
METROPOLITAN HOSPITAL
Active
Other names
Metro Health Cancer Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
PETER HAVERKAMP (DIRECTOR OF PHARMACY SERVICES)
(616) 252-7216
Entity
Organization
Contact information
Practice address
5950 METRO WAY SW, WYOMING, MI 49519-9514
(616) 252-8126
(616) 252-8183
Mailing address
5950 METRO WAY SW, WYOMING, MI 49519-9514
(616) 252-8126
(616) 252-8183
Taxonomy
Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
Primary
5301008893
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1557201
—
MI
01
—
2374231
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
07/07/2010
Last updated
03/26/2013
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