Organization
SANILAC SERVICES INC
Active
Parent organization
MCKENZIE MEMORIAL HOSPITAL
Other names
Sanilac Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
MCKENZIE MEMORIAL HOSPITAL
Authorized official
MRS. AMY RUEDISUELI (CFO)
(810) 648-2265
Entity
Organization
Contact information
Practice address
78 S ELK STREET, SANDUSKY, MI 48471-1354
(810) 648-2265
(810) 648-5968
Mailing address
78 S ELK STREET, SANDUSKY, MI 48471-1354
(810) 648-2265
(810) 648-5968
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301004765
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1875780
—
MI
Enumeration date
10/24/2006
Last updated
11/02/2015
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