Organization
THE MEMORIAL HOSPITAL
Active
Organization
THE MEMORIAL HOSPITAL
Active
Parent organization
THE MEMORIAL HOSPITAL
Other names
Memorial Healthcare Outpatient Pharmacy Ovid
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE MEMORIAL HOSPITAL
Authorized official
JORRI M TREMAIN (CFO)
(989) 729-4466
Entity
Organization
Contact information
Practice address
9900 W M 21 STE 103, OVID, MI 48866-9798
(989) 862-4858
(989) 862-5355
Mailing address
819 N SHIAWASSEE ST STE 105, OWOSSO, MI 48867-1601
(989) 729-4781
(989) 729-4971
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1386101566
—
MI
Enumeration date
02/25/2019
Last updated
08/30/2024
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