Organization
CANCER & HEMATOLOGY CENTERS OF WESTERN MI, P.C.
Active
Organization
CANCER & HEMATOLOGY CENTERS OF WESTERN MI, P.C.
Active
Other names
The Cancer & Hematology Centers
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY MELGAREJO PHARMD (PHARMACIST/DIRECTOR)
(616) 977-4850
Entity
Organization
Contact information
Practice address
710 KENMOOR AVE SE STE 100, GRAND RAPIDS, MI 49546-2379
(616) 977-4861
(616) 389-0977
Mailing address
710 KENMOOR AVE SE STE 100, GRAND RAPIDS, MI 49546-2379
(616) 389-1800
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301008064
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1225253974
—
MI
Enumeration date
04/16/2007
Last updated
09/10/2024
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