Organization
CANCER AND HEMATOLOGY CENTERS OF WESTERN MI, P.C.
Active
Other names
Cancer & Hematology Ctrs of Western MI
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY MELGAREJO PHARMD (PHARMACIST/DIRECTOR)
(616) 977-4850
Entity
Organization
Contact information
Practice address
145 MICHIGAN AVE NE, SUITE 3100, GRAND RAPIDS, MI 49503
(616) 977-4840
(616) 885-1459
Mailing address
145 MICHIGAN AVE NE, SUITE 3100, GRAND RAPIDS, MI 49503
(616) 977-4840
(616) 885-1459
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301006326
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3113438
—
MI
Enumeration date
03/27/2007
Last updated
03/11/2020
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