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Organization

MUNSON HEALTHCARE GRAYLING HOSPITAL PHARMACY

Active
Other names
Munson Healthcare Grayling Hospital Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
KATHLEEN LARAIA (VP, ANCILLARY SERVICES)
(231) 392-8410
Entity
Organization

Contact information

Practice address
1100 E MICHIGAN AVE, GRAYLING, MI 49738-1312
(989) 348-0800
(989) 348-0462
Mailing address
1100 E MICHIGAN AVE, GRAYLING, MI 49738-1312
(989) 348-0800
(989) 348-0462

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
3336I0012X
Institutional Pharmacy
Primary
5301010626
MI
3336L0003X
Long Term Care Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2151931
PK
Enumeration date
10/13/2006
Last updated
12/29/2023
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