# ASPIRUS KEWEENAW

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Aspirus Keweenaw Pharmacy - Laurium
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922107655
- **Authorized official:** JERRY M YANG (SVP & CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (715) 847-2526

## Contact information

- **Practice address:** 205 OSCEOLA ST, LAURIUM, MI 49913-2134
- **Practice address phone:** (906) 337-6575
- **Practice address fax:** (906) 337-6576
- **Mailing address:** 205 OSCEOLA ST, LAURIUM, MI 49913-2134
- **Mailing address phone:** (906) 337-6575
- **Mailing address fax:** (906) 337-6576

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 5301006759 | MI | — |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 09/21/2006
- **Last updated:** 06/06/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 3451598 | — | MI |