# MCLAREN CENTRAL MICHIGAN

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720164866
- **Authorized official:** TARA SOULES (CFO)
- **Authorized official phone:** (989) 772-6720

## Contact information

- **Practice address:** 1221 SOUTH DR, MT PLEASANT, MI 48858-3258
- **Practice address phone:** (989) 772-6700
- **Practice address fax:** (989) 772-6807
- **Mailing address:** 1221 SOUTH DR, MT PLEASANT, MI 48858-3258
- **Mailing address phone:** (989) 772-6700
- **Mailing address fax:** (989) 772-6807

## Taxonomy

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

## Other

- **Enumeration date:** 10/31/2006
- **Last updated:** 01/03/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2318651 | — | MI |