# METROPOLITAN HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Metro Health Cancer Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598077554
- **Authorized official:** PETER HAVERKAMP (DIRECTOR OF PHARMACY SERVICES)
- **Authorized official phone:** (616) 252-7216

## Contact information

- **Practice address:** 5950 METRO WAY SW, WYOMING, MI 49519-9514
- **Practice address phone:** (616) 252-8126
- **Practice address fax:** (616) 252-8183
- **Mailing address:** 5950 METRO WAY SW, WYOMING, MI 49519-9514
- **Mailing address phone:** (616) 252-8126
- **Mailing address fax:** (616) 252-8183

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336I0012X | Institutional Pharmacy | 5301008893 | MI | Yes |

## Other

- **Enumeration date:** 07/07/2010
- **Last updated:** 03/26/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1557201 | — | MI |
| 01 | — | 2374231 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |