Organization
UNIVERSITY OF MICHIGAN HEALTH-WEST OUTPATIENT PHARMACY
Active
Organization
UNIVERSITY OF MICHIGAN HEALTH-WEST OUTPATIENT PHARMACY
Active
Parent organization
METROPOLITAN HOSPITAL
Other names
University of Michigan Health-West Outpatient Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
METROPOLITAN HOSPITAL
Authorized official
PETER JOSEPH HAVERKAMP R.PH. (DIRECTOR OF PHARMACY SERVICES)
(616) 252-7216
Entity
Organization
Contact information
Practice address
5900 BYRON CENTER AVE SW STE 101, WYOMING, MI 49519-9606
(616) 252-7979
(616) 252-7175
Mailing address
5900 BYRON CENTER AVE SW STE 101, WYOMING, MI 49519-9606
(616) 252-7979
(616) 252-7175
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5301013436
PHARMACY LICENSE
MI
01
—
5315251883
CONTROLLED SUBSTANCE LICENSE
MI
Enumeration date
11/06/2024
Last updated
11/06/2024
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