Organization
MONROE HEALTH VENTURES, INC
Active
Parent organization
MERCY MEMORIAL HOSPITAL CORPORATION
Other names
Mercy Memorial Westside Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
MERCY MEMORIAL HOSPITAL CORPORATION
Authorized official
JAMES P JACKEL (VICE PRESIDENT-FINANCE)
(734) 240-4527
Entity
Organization
Contact information
Practice address
100 POWELL DR SUITE 1, DUNDEE, MI 48131
(734) 240-3333
(734) 240-3334
Mailing address
718 N MACOMB ST, MONROE, MI 48162
(734) 240-4520
(734) 240-4535
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
5301008257
MI
3336C0002X
Clinic Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2367856
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
06/10/2006
Last updated
08/04/2008
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