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Organization

EASTERN MICHIGAN UNIVERSITY

Active
Other names
SNOW HEALTH SERVICES PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
ELLEN GOLD RPH, MS (EXEC. DI. STUDENT WELL-BEING)
(734) 487-1107
Entity
Organization

Contact information

Practice address
SUITE 201 SNOW HEALTH CENTER, EASTERN MICHIGAN UNIVERSITY, YPSILANTI, MI 48197
(734) 487-1003
(734) 487-0273
Mailing address
SUITE 201 SNOW HEALTH CENTER, EASTERN MICHIGAN UNIVERSITY, YPSILANTI, MI 48197
(734) 487-1003
(734) 487-0273

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
5301002656
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2041177
PK
05
502524125
MI
Enumeration date
07/19/2006
Last updated
08/19/2016
About Stedi
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