Organization
BRONSON METHODIST HOSPITAL
Active
Other names
BRONSON METHODIST HOSPITAL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
HOLLY WAGNER (MANAGER)
(269) 341-6244
Entity
Organization
Contact information
Practice address
601 JOHN ST, KALAMAZOO, MI 49007-5341
(269) 341-7226
(269) 341-7299
Mailing address
601 JOHN ST # 56, KALAMAZOO, MI 49007-5341
(269) 341-6990
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301000730
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2040926
PK
—
Enumeration date
06/13/2006
Last updated
11/18/2015
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