Organization
MERCY HOSPITAL
Active
Other names
Mercy Hospital Discharge Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRUCE ALBERT AHLICH R.PH. (DIRECTOR-PHARMACY SERVICES)
(231) 876-7375
Entity
Organization
Contact information
Practice address
400 HOBART ST, CADILLAC, MI 49601-2331
(231) 876-7841
(231) 876-7894
Mailing address
400 HOBART ST, CADILLAC, MI 49601-2331
(231) 876-7841
(231) 876-7894
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
5301002460
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2313031
NCPDP
—
05
—
4991460
—
MI
Enumeration date
11/19/2012
Last updated
11/19/2012
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