Organization
REGENTS OF THE UNIVERSITY OF MICHIGAN
Active
Organization
REGENTS OF THE UNIVERSITY OF MICHIGAN
Active
Other names
KEC PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID MILLER MD (PRESIDENT)
(734) 936-4000
Entity
Organization
Contact information
Practice address
1000 WALL ST, ROOM 4114, ANN ARBOR, MI 48105-1912
(734) 232-8224
Mailing address
PO BOX 223010, PITTSBURGH, PA 15251-2010
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336I0012X
Institutional Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5301009402
STATE OF MICHIGAN PHARMACY LICENSE
MI
01
—
5315047515
STATE OF MICHIGAN CONTROLLED SUBSTANCE LICENSE
MI
Enumeration date
01/18/2010
Last updated
04/09/2025
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