Organization
NORTHERN MICHIGAN UNIVERSITY
Active
Organization
NORTHERN MICHIGAN UNIVERSITY
Active
Other names
University Health Center Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JAN NOLAN (DIRECTOR OF PHARMACY)
(906) 227-1605
Entity
Organization
Contact information
Practice address
1401 PRESQUE ISLE AVE, MARQUETTE, MI 49855-2818
(906) 227-2355
(906) 227-1332
Mailing address
1401 PRESQUE ISLE AVE, MARQUETTE, MI 49855-2818
(906) 227-1605
(906) 227-2332
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301002840
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1840167
—
MI
01
—
2040953
PK
—
Enumeration date
08/11/2006
Last updated
04/22/2016
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