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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