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Organization

MCLAREN NORTHERN MICHIGAN

Active
Other names
Northern Michigan Regional Hospital
Organization subpart
No

Provider details

NPI number
Authorized official
MR. KEVIN PENDLETON RPH (PHARMACY MANAGER)
(231) 487-4843
Entity
Organization

Contact information

Practice address
416 CONNABLE AVE, PETOSKEY, MI 49770-2212
(231) 487-4843
(231) 487-4817
Mailing address
416 CONNABLE AVE, PETOSKEY, MI 49770-2212
(231) 487-4843
(231) 487-4817

Taxonomy

Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
Primary
5301002202
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2324349
NCPDP NUMBER
05
5171539
MI
Enumeration date
01/03/2007
Last updated
12/19/2017
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