Organization
METROPOLITAN HOSPITAL
Active
Other names
Metro Health Cancer Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
PETER HAVERKAMP (DIRECTOR OF PHARMACY SERVICES)
(616) 252-7216
Entity
Organization
Contact information
Practice address
5950 METRO WAY SW, WYOMING, MI 49519-9514
(616) 252-8126
(616) 252-8183
Mailing address
5950 METRO WAY SW, WYOMING, MI 49519-9514
(616) 252-8126
(616) 252-8183
Taxonomy
Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
Primary
5301008893
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1557201
—
MI
01
—
2374231
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
07/07/2010
Last updated
03/26/2013
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