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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